Checkride Registration - Seth Lake, DPE

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Should be completed and submitted at least 24 hours prior to the requested checkride

479-422-3940
seth@vsl.aero
http://vsl.aero

Email *

First Name *

Last Name *

Requested Date and Time *

YYYY

Time

Applicant Phone Number *

Applicant Certificate Number *

Applicant FTN *

Applicant Email Address *

Use the email address associated with your https://www.faasafety.gov account. If you don't have a current account there, go create one before the checkride.

Recommending Instructor Name

First and last name only

Recommending Instructor Phone Number

Recommending Instructor Certificate Number

Checkride type

Aircraft Make and Model *

Is this a retest?

Yes

Clear selection

The following required documents MUST be available when we meet

* Current Pilot Certificate
* Photo ID* Medical Certificate/BasicMed Documentation
* Knowledge Test (if applicable)
* Log book / Flight Record
* Instructor Endorsements (in accordance with AC 61.65(X))
* IACRA Completed and Signed by your Instructor
* Your user name and password for IACRA.

Practical Test Checklist

Send me a copy of my responses.

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