Sarah Rovner - Designated Pilot Examiner
Request a Practical Exam
Name
*
First Name
Last Name
Email
*
example@example.com
IACRA FTN #:
*
Certificate #:
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Practical Exam Requested
*
Private Pilot
Instrument Rating
Commercial Pilot
ATP
Flight Instructor Initial
Flight Instructor Add On - Instrument
Flight Instructor Add On - Multi-Engine
Special Medical Flight Test
Other
Type of Exam
*
Initial Attempt
Continued from a previously discontinued exam
Retest after disapproval
Category/Class
*
Single Engine
Multi Engine
Level of Pilot Certificate Held
*
Student Pilot
Private Pilot
Commercial Pilot
ATP
Flight Instructor Certificate Held (if applicable)
Flight Instructor - Airplane Single Engine
Flight Instructor - Airplane Multi Engine
Flight Instructor - Instrument
Other
Airport Requested (Priority given to KEIK)
*
Type of Aircraft - full type (C172-N, PA28-180, etc)
*
Tail Number (if known)
Name of the flight training operation (school, club, etc) - enter N/A if none:
*
Training Completion Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Training is under:
*
Part 61
Part 141
Other
Recommending Instructor Name:
*
Instructor name
Recommending Instructor Email:
*
example@example.com
Recommending Instructor Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Has IACRA been completed? Priority is given to applicants who are signed off and ready to go.
*
Yes
No
FIRST CHOICE: Requested dates and times.
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
SECOND CHOICE: Requested dates and times.
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Any other information or details?
Knowledge Test Results:
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Graduation Certificate (if applicable):
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