pilot examiner pilot examiner located in goleta, santa barbara
  Phone: (805) 967-6720      Cell: (805) 698-2167      E-Mail: wmtalley@pilotinformation.com

APPENDIX 1. INSTRUCTOR ENDORSEMENTS

AC No: 61-65D Date: 9/20/99
The following examples are recommended sample endorsements for use by authorized instructors when endorsing logbooks for airmen applying for a knowledge or practical test, or when certifying accomplishment of requirements for pilot operating privileges. Each endorsement must be legible and include the instructor's signature, date of signature, certificated flight instructor (CFI) or certificated ground instructor (CGI) certificate number, and certificate expiration date, if applicable. The purpose for this advisory circular is to provide guidance and to encourage standardization amongst instructors.

Endorsement for practical test prerequisites: FAR 61.39(a)(6).
All Practical Tests that require an endorsement must have this Instructor endorsement. AC 61.65D Page 4 Paragraph 9. (NOTE)

I certify that Mr./Ms.____________________ has received training time required within the preceding 60 days in preparation for the (Name of test) (category and class) practical test and find him/her prepared for that test. (if knowledge test is required and applicant has achieved less than 100%) He/she has demonstrated satisfactory knowledge of the subject areas found deficient on the (Name of Test) aeronautical knowledge test.

{Date}  {Signature}  {Print Name}  {CFI number and expiration}




Student Pilot Endorsements Recreational Pilot Endorsements Private Pilot Endorsements Commercial Pilot Endorsements Instrument Rating Endorsements Flight Instructor Endorsements Ground Instructor Endorsement Additional Endorsements

Student Pilot Endorsements

1. Presolo aeronautical knowledge: 61.87(b)

I certify that {First name, MI, Last name} has satisfactorily completed the presolo knowledge exam of 61.87(b) for the {make and model aircraft}.

S/S {date} J.J. Jones 987654321CFI Exp. 12-31-00


2. Presolo flight training: 61.87(c)

I certify that {First name, MI, Last name} has received the required presolo training in a {make and model aircraft}. I have determined he/she has demonstrated the proficiency of 61.87(d) and is proficient to make solo flights in {make and model aircraft}.

S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00


3. Presolo flight training at night: 61.87(c) and (m)

I certify that {First name, MI, Last name} has received the required presolo training in a {make and model aircraft}. I have determined he/she has demonstrated the proficiency of 61.87(m) and is proficient to make solo flights at night in a {make and model aircraft}.

S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00


4. Solo flight (each additional 90-day period): 61.87(n)

I certify that {First name, MI, Last name} has received the required training to qualify for solo flying. I have determined he/she meets the applicable requirements of 61.87(n) and is proficient to make solo flights in (make and model).

S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00


5. Solo takeoffs and landings at another airport within 25 NM: 61.93(b)(1)

I certify that {First name, MI, Last name} has received the required training of 61.93(b)(1). I have determined that he/she is proficient to practice solo takeoffs and landings at {airport name}. The takeoffs and landings at {airport name} are subject to the following conditions: {List any applicable conditions or limitations.}

S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00


6. Initial solo cross-country flight: 61.93(c)(1)

I certify that {First name, MI, Last name} has received the required solo cross-country training. I find he/she has met the applicable requirements of 61.93, and is proficient to make solo cross-country flights in a {make and model aircraft}.

S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00


7. Solo cross-country flight: 61.93(c)(2)

I have reviewed the cross country planning of (First name, MI, Last name). I find the planning and preparation to be correct to make the solo flight from (location) to (destination) via (route of flight) with landings at (name the airports) in a (make and model aircraft) on (date). (List any applicable conditions or limitations.)

S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00


8. Repeated solo cross-country flights not more than 50nm from the point of departure: 61.93(b)(2)

I certify that (First name, MI, Last name) has received the required training in both directions between and at both (airport names). I have determined that he/she is proficient of 61.93(b)(2) to conduct repeated solo cross-country flights over that route, subject to the following conditions: (List any applicable conditions or limitations.)

S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00


9. Solo flight in Class B airspace: 61.95(a)

I certify that (First name, MI, Last name) has received the required training of 61.95(a). I have determined he/she is proficient to conduct solo flights in (name of Class B) airspace. (List any applicable conditions or limitations.)

S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00


10. Solo flight to, from, or at an airport located in Class B airspace: 61.95(b) and 91.131(b)(1)

I certify that (First name, MI, Last name) has received the required training of 61.95(a)(1). I have determined that he/she is proficient to conduct solo flight operations at (name of airport). (List any applicable conditions or limitations.)

S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00


[top of page]

Recreational Pilot Endorsements

11. Aeronautical knowledge test: 61.35(a)(1) and 61.96(b)(3)

I certify that (First name, MI, Last name) has received the required training of 61.97(b). I have determined that he/she is prepared for the (name the knowledge test).

S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00


12. Flight proficiency/practical test: 61.96(b)(5), 61.98(a) and (b), and 61.99

I certify that (First name, MI, Last name) has received the required training of 61.98(b) and 61.99. I have determined that he/she is prepared for the (name the practical test).

S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00
Endorsement for practical test prerequisites: FAR 61.39(a)(6). All Practical Tests that require an endorsement must have this Instructor endorsement. AC 61.65D Page 4 Paragraph 9. (NOTE)


I certify that Mr./Ms.____ has received training time required within the preceding 60 days in preparation for the Recreational Pilot (category and class) practical test and find him/her prepared for that test. He/she has demonstrated satisfactory knowledge of the subject areas found deficient on the (Name of Test) aeronautical knowledge test.

Date: Signature: Print Name: CFI number and expiration:


13. Recreational pilot to operate within 50 NM of the airport where training was received: 61.101(b)

I certify that (First name, MI, Last name) has received the required training of 61.101(b). I have determined he/she is competent to operate at the (name of airport).

S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00


14. Recreational pilot to act as PIC on a flight that exceeds 50 NM of the departure airport: 61.101(c)

I certify that (First name, MI, Last name) has received the required cross-country training of 61.101(c). I have determined that he/she is proficient in cross-country flying of part 61, subpart E.

S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00


15. Recreational pilot with less than 400 flight hours and not logged PIC time within the preceding 180 days: 61.101(f)

I certify that (First name, MI, Last name) has received the required 180-day recurrent training of 61.101(f) in a (make and model aircraft). I have determined him/her proficient to act as PIC of that aircraft.

S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00


16. Recreational pilot to conduct solo flights for the purpose of obtaining an additional certificate or rating while under the supervision of an authorized flight instructor: 61.101(i)

I certify that (First name, MI, Last name) has received the required training of 61.87 in a (make and model aircraft). I have determined he/she is prepared to conduct a solo flight on (date) under the following conditions: (List all conditions which require endorsement, e.g., flight which requires communication with ATC, flight in an aircraft for which the pilot does not hold a category/class rating, etc.).

S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00


[top of page]

Private Pilot Endorsements

17. Aeronautical knowledge test: 61.35(a)(1), 61.103(d), and 61.105

I certify that {First name, MI, Last name} has received the required training of 61.105. I have determined he/she is prepared for the (name the knowledge test).

S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00


18. Flight proficiency/practical test: 61.103(f), 61.107(b), and 61.109

I certify that (First name, MI, Last name) has received the required training of 61.107 and 61.109. I have determined he/she is prepared for the (name the practical test).

S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00


Endorsement for practical test prerequisites: FAR 61.39(a)(6). All Practical Tests that require an endorsement must have this Instructor endorsement. AC 61.65D Page 4 Paragraph 9. (NOTE)


I certify that Mr./Ms.____ has received training time required within the preceding 60 days in preparation for the private pilot(category and class) practical test and find him/her prepared for that test. He/she has demonstrated satisfactory knowledge of the subject areas found deficient on the (Name of Test) aeronautical knowledge test.

Date: Signature: Print Name: CFI number and expiration:


[top of page]

Commercial Pilot Endorsements

19. Aeronautical knowledge test: 61.35(a)(1) and 61.123(c)

I certify that (First name, MI, Last name) has received the required training of 61.125. I have determined that he/she is prepared for the (name the knowledge test).

S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00


20. Flight proficiency/practical test: 61.123(e) and 61.127

I certify that (First name, MI, Last name) has received the required training of 61.127 and 61.129. I have determined he/she is prepared for the (name the practical test).

S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00


Endorsement for practical test prerequisites: FAR 61.39(a)(6). All Practical Tests that require an endorsement must have this Instructor endorsement. AC 61.65D Page 4 Paragraph 9. (NOTE)


I certify that Mr./Ms.____ has received training time required within the preceding 60 days in preparation for the Commercial pilot (category and class) practical test and find him/her prepared for that test. He/she has demonstrated satisfactory knowledge of the subject areas found deficient on the (Name of Test) aeronautical knowledge test.

Date: Signature: Print Name: CFI number and expiration:


[top of page]

Instrument Rating Endorsements

21. Aeronautical knowledge test: 61.35(a)(1) and 61.65(a) and (b)

I certify that (First name, MI, Last name) has received the required training of 61.65(b). I have determined that he/she is prepared for the (name the knowledge test).

S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00


22. Flight proficiency/practical test: 61.65(a)(6)

I certify that (First name, MI, Last name) has received the required training of 61.65(c) and (d). I have determined he/she is prepared for the Instrument - (Airplane, Helicopter, or Powered-lift) practical test.

S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00


Endorsement for practical test prerequisites: FAR 61.39(a)(6). All Practical Tests that require an endorsement must have this Instructor endorsement. AC 61.65D Page 4 Paragraph 9. (NOTE)


I certify that Mr./Ms.____ has received training time required within the preceding 60 days in preparation for the Instrument Rating (category and class) practical test and find him/her prepared for that test. He/she has demonstrated satisfactory knowledge of the subject areas found deficient on the (Name of Test) aeronautical knowledge test.

Date: Signature: Print Name: CFI number and expiration:


[top of page]

Flight Instructor Endorsements

23. Fundamentals of instructing knowledge test: 61.183(d) and 61.185(a)(1)

I certify that (First name, MI, Last name) has received the required fundamentals of instruction training of 61.185(a)(1).

S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00


24. Flight instructor ground and flight proficiency/practical test: 61.183(g) and 61.187(a) and (b)

I certify that (First name, MI, Last name) has received the required training of 61.187(b). I have determined he/she is prepared for the CFI - (aircraft category and class) practical test.

S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00


Endorsement for practical test prerequisites: FAR 61.39(a)(6). All Practical Tests that require an endorsement must have this Instructor endorsement. AC 61.65D Page 4 Paragraph 9. (NOTE)


I certify that Mr./Ms.____ has received training time required within the preceding 60 days in preparation for the Flight Instructor (category and class) practical test and find him/her prepared for that test. He/she has demonstrated satisfactory knowledge of the subject areas found deficient on the (Name of Test) aeronautical knowledge test.

Date: Signature: Print Name: CFI number and expiration:


25. Flight instructor certificate with instrument - (category/class) rating/practical test: 61.183(g) and 61.187(a) and (b)(7)

I certify that (First name, MI, Last name) has received the required CFII training of 61.187(b)(7). I have determined he/she is prepared for the CFII - (airplane, helicopter, or powered-lift) practical test.

S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00


Endorsement for practical test prerequisites: FAR 61.39(a)(6). All Practical Tests that require an endorsement must have this Instructor endorsement. AC 61.65D Page 4 Paragraph 9. (NOTE)


I certify that Mr./Ms.____ has received training time required within the preceding 60 days in preparation for the Flight Instructor With Instrument Rating (category and class) practical test and find him/her prepared for that test. He/she has demonstrated satisfactory knowledge of the subject areas found deficient on the (Name of Test) aeronautical knowledge test.

Date: Signature: Print Name: CFI number and expiration:


26. Spin training: 61.183(i)(1)

I certify that (First name, MI, Last name) has received the required training of 61.183(i). I have determined that he/she is competent and proficient in instructional skills for training stall awareness, spin entry, spins, and spin recovery procedures.

S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00

NOTE: The above spin training endorsement is required of flight instructor applicants for the airplane and glider ratings only.
[top of page]

Ground Instructor Endorsement

27. Ground instructor who does not meet the recent experience requirements: 61.217(b)

I certify that (First name, MI, Last name) has demonstrated satisfactory proficiency on the appropriate ground instructor knowledge and training subjects of 61.213(a)(3) and (a)(4).

S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00 [ *or CGI, as appropriate] (The expiration date would apply only to a CFI.)


[top of page]

Additional Endorsements

28. Completion of a flight review: 61.56(a) and (c)

I certify that (First name, MI, Last name), (pilot certificate), (certificate number), has satisfactorily completed a flight review of 61.56(a) on (date).

S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00


NOTE: No logbook entry reflecting unsatisfactory performance on a flight review is required.
29. Completion of a phase of an FAA-sponsored pilot proficiency award program (WINGS): 61.56(e)

I certify that (First name, MI, Last name), (pilot certificate), (certificate number), has satisfactorily completed Phase No. ___ of a WINGS program on (date).

S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00


30. Completion of an instrument proficiency check: 61.57(d)

I certify that (First name, MI, Last name), (pilot certificate), (certificate number), has satisfactorily completed the instrument proficiency check of 61.57(d) in a (list make and model of aircraft) on (date).

S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00

NOTE: No logbook entry reflecting unsatisfactory performance on an instrument proficiency check is required.


31. To act as PIC in a complex airplane: 61.31(e)

I certify that (First name, MI, Last name), (pilot certificate), (certificate number), has received the required training of 61.31(e) in a (make and model of complex airplane). I have determined that he/she is proficient in the operation and systems of a complex airplane.

S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00


32. To act as PIC in a high performance airplane: 61.31(f)

I certify that (First name, MI, Last name), (pilot certificate), (pilot number), has received the required training of 61.31(f) in a (make and model of high performance). I have determined that he/she is proficient in the operation and systems of a high performance airplane.

S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00


33. To act as PIC in a pressurized aircraft capable of high altitude operations: 61.31(g)

I certify that (First name, MI, Last name), (pilot certificate), (pilot number), has received the required training of 61.31(g) in a (make and model of pressurized aircraft). I have determined that he/she is proficient in the operation and systems of a pressurized aircraft.

S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00


34. To act as PIC in a tailwheel airplane: 61.31(i)

I certify that (First name, MI, Last name), (pilot certificate), (pilot number), has received the required training of 61.31(i) in a (make and model of tailwheel airplane). I have determined that he/she is proficient in the operation of a tailwheel airplane.

S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00


35. To act as PIC of an aircraft in solo operations when the pilot who does not hold an appropriate category/class rating: 61.31(d)(3)

I certify that (First name, MI, Last name) has received the training as required by 61.31(d)(3) to serve as a PIC in a (category and class of aircraft). I have determined that he/she is prepared to serve as PIC in that (make and model of aircraft).

S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00


36. Retesting after failure of a knowledge or practical test: 61.49.

I certify that (First name, MI, Last name) has received the additional (flight and/or ground) training as required by 61.49. I have determined that he/she is prepared for the (name the knowledge/practical test).


NOTE: In the case of a failed knowledge test, the instructor may complete the endorsement in the space provided at the bottom of the applicant's airman knowledge test report. The instructor must sign the block provided for the instructor's recommendation on the reverse side of FAA Form 8710-1 application for each retake of a practical test.

37. Additional aircraft category or class rating (other than ATP): 61.63(b) or (c)

I certify that (First name, MI, Last name), (pilot certificate), (pilot number), has received the required training for an additional (name the aircraft category/class rating). I have determined that he/she is prepared for the (name the practical test) for the addition of a (name the aircraft category/class rating)

S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00


Endorsement for practical test prerequisites: FAR 61.39(a)(6). All Practical Tests that require an endorsement must have this Instructor endorsement. AC 61.65D Page 4 Paragraph 9. (NOTE)


I certify that Mr./Ms.____ has received training time required within the preceding 60 days in preparation for the (Name of test) (category and class) practical test and find him/her prepared for that test. (if knowledge test is required and applicant has achieved less than 100%)He/she has demonstrated satisfactory knowledge of the subject areas found deficient on the (Name of Test) aeronautical knowledge test.

Date: Signature: Print Name: CFI number and expiration:


38. Type rating only, already holds the appropriate category or class rating (other than ATP): 61.63(d)(2) and (3)

I certify that (First name, MI, Last name) has received the required training of 61.63(d)(2) and (3) for an addition of a (name the type rating).

S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00


Endorsement for practical test prerequisites: FAR 61.39(a)(6). All Practical Tests that require an endorsement must have this Instructor endorsement. AC 61.65D Page 4 Paragraph 9. (NOTE)


I certify that Mr./Ms.____ has received training time required within the preceding 60 days in preparation for the (Name of test) (category and class) practical test and find him/her prepared for that test. (if knowledge test is required and applicant has achieved less than 100%)He/she has demonstrated satisfactory knowledge of the subject areas found deficient on the (Name of Test) aeronautical knowledge test.

Date: Signature: Print Name: CFI number and expiration:
39. Type rating concurrently with an additional category or class rating (other than ATP): 61.63(d)(2) and (3)

I certify that (First name, MI, Last name) has received the required training of 61.63(d)(2) and (3) for an addition of a (name the category/class/type rating). I have determined that he/she is prepared for the (name the practical test) for the addition of a (name the aircraft category/class/type rating).

S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00


Endorsement for practical test prerequisites: FAR 61.39(a)(6). All Practical Tests that require an endorsement must have this Instructor endorsement. AC 61.65D Page 4 Paragraph 9. (NOTE)


I certify that Mr./Ms.____ has received training time required within the preceding 60 days in preparation for the (Name of test) (category and class) practical test and find him/her prepared for that test. (if knowledge test is required and applicant has achieved less than 100%)He/she has demonstrated satisfactory knowledge of the subject areas found deficient on the (Name of Test) aeronautical knowledge test.

Date: Signature: Print Name: CFI number and expiration:


40. Type rating only, already holds the appropriate category or class rating (at the ATP level): 61.157(b)(1)

I certify that (First name, MI, Last name) has received the required training of 61.157(b)(1) for an addition of a (name the type rating).

S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00


Endorsement for practical test prerequisites: FAR 61.39(a)(6). All Practical Tests that require an endorsement must have this Instructor endorsement. AC 61.65D Page 4 Paragraph 9. (NOTE)


I certify that Mr./Ms.____ has received training time required within the preceding 60 days in preparation for the (Name of test) (category and class) practical test and find him/her prepared for that test. (if knowledge test is required and applicant has achieved less than 100%)He/she has demonstrated satisfactory knowledge of the subject areas found deficient on the (Name of Test) aeronautical knowledge test.

Date: Signature: Print Name: CFI number and expiration:
41. Type rating concurrently with an additional category or class rating (at the ATP level): 61.157(b)(1)

I certify that (First name, MI, Last name) has received the required training of 61.157(b)(1) for an addition of a (name the category/class/type rating).

S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00


Endorsement for practical test prerequisites: FAR 61.39(a)(6). All Practical Tests that require an endorsement must have this Instructor endorsement. AC 61.65D Page 4 Paragraph 9. (NOTE)


I certify that Mr./Ms.____ has received training time required within the preceding 60 days in preparation for the (Name of test) (category and class) practical test and find him/her prepared for that test. (if knowledge test is required and applicant has achieved less than 100%)He/she has demonstrated satisfactory knowledge of the subject areas found deficient on the (Name of Test) aeronautical knowledge test.

Date: Signature: Print Name: CFI number and expiration:

42. Launch procedures for operating a glider: 61.31(j)
I certify that (First name, MI, Last name), (pilot certificate), (pilot number), has received the required training in a (list the glider make and model) for (list the launch procedure). I have determined that he/she is proficient in (list the launch procedure).

S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00

Endorsement for practical test prerequisites: FAR 61.39(a)(6). All Practical Tests that require an endorsement must have this Instructor endorsement. AC 61.65D Page 4 Paragraph 9.
I certify that Mr./Ms.____ has received training time required within the preceding 60 days in preparation for the (Name of test) (category and class) practical test and find him/her prepared for that test. (if knowledge test is required and applicant has achieved less than 100%)He/she has demonstrated satisfactory knowledge of the subject areas found deficient on the (Name of Test) aeronautical knowledge test.

Date: Signature: Print Name: CFI number and expiration:

43. Review of a home study curriculum: 61.35(a)(1)
I certify I have reviewed the home study curriculum of (First name, MI, Last name). I have determined he/she is prepared for the (name the knowledge test).

S/S [date] J.J. Jones 987654321CFI Exp. 12-31-00


[top of page]

You are visitor .