Course Completion – Phoenix East Aviation: Forms

Please use the following form after completing a course at Phoenix East Aviation

"*" indicates required fields

Select Location*

What location is the student enrolled at? It is very important that you select the correct location here to avoid any errors.

Course Completion Information

Student Name*

First Last

Please enter the full name as it appears on your Govt. Issued Photo ID

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please enter your full residential address

Email*

Phone*

Instructor Name*

Self or Non-Self Examining?*

Course*

This indicates that the final checkride will be an FAA Checkride with a DPE.

Part 141 or Part 61?*

Initial or Add-On?*

Graduation Date*

Name of Check Airman*

Please enter the full name of the Check Airman

Passed at first attempt?*

Name of Admissions Officer*

List down all the attempts for this checkride, starting from oldest to newest. The final attempt date needs to match the graduation date.

1st Attempt Check Airman

1st Attempt Date

2nd Attempt Check Airman

2nd Attempt Date

3rd Attempt Check Airman

3rd Attempt Date

4th Attempt Check Airman

4th Attempt Date

5th Attempt Check Airman

5th Attempt Date

Is this your last course at Phoenix East Aviation?*

If you’re not sure or have not decided yet, select “No”.

What is your next course?*

E.g. “141 Commercial ASEL” or “61 CFI Initial”. Examiner should ask the student this question. If this course that you graduated from what the last course, please enter “N/A”.

Does the student have an LOA with a Foreign License?*

If yes, please scan it along with the rest of the paperwork.

Extra Notes/Comments

If the check airman has other notes/comments, please enter them here.

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