Your Practical Flight Test w/FAA DPE Luke E. Closson, Jr.

Preferably the Applicant's recommending Certified Flight Instruction (CFI) should complete this form although it may be helpful for the Applicant and CFI to complete the form together.

Almost every element of this form will be used by your Designated Pilot Examiner (DPE) to obtain Pre-Approval in the FAA's Designee Management System (DMS). The FAA has some extremely detailed rules, especially with regards to how your name is documented on various documents and systems.

This form should only be completed AFTER you have pre-coordinated a date, time and location for the practical test for the Applicant with the DPE. Please make note of the following:

DO NOT COMPLETE THIS FORM UNTIL
the Applicant's 8710 on IACRA has been electronically signed

Certificate Applicant is Seeking to Obtain*
If CFI - Select Type (i.e. Initial, Add-on, Renewal, or Reinstatement)*
If CFI Add-on - Select Type of Add-On*
IF Ground Instructor - Select Type*
Rating Applicant is Seeking to Obtain*
Is this a continuation of a discontinued practical test?*
Is this a RETEST after a disapproval for the certificate or rating for which you are applying?*
Type of aircraft to be used for practical (i.e. CE-172S, PA-28, etc) NOTE: MUST EXACTLY MATCH IACRA 8710: II A. 1. including model of aircraft*
Date of Practical Test (as agreed with DPE)*
Month
Day
Year
Time of Practical Test (as agreed with DPE)*

: Hours

Minutes

AM/PM
Appplicant's Name (MUST BE IDENTICAL to name on 8710 in IACRA, Knowledge Test Results, Pilot Certificate, Medical Certificate and Gov't Issued ID)*
VERY IMPORTANT NOTE: The DPE IS REQUIRED BY THE FAA TO TERMINATE the check-ride if any of these do no match PERFECTLY (including suffix). i.e. If a Middle Initial is used on one required document and the Middle Name is spelled out on another required document, then those documents ARE NOT IDENTICAL and the DPE is prohibited from administering the scheduled check-ride.
First Middle Last Suffix
Certificates CURRENTLY held by Applicant (select all Applicant Holds)*
- Student
- Private
- Recreational
- Sport
- Commercial
- ATP
Date of Most Recently Issued Certificate*
Month
Day
Year
Applicant's Certificate Number:*
Upload copy of FRONT & BACK of Applicant's FAA Certificate (INCLUDING STUDENT Certificates)*
Drop files here or

Max. file size: 32 MB, Max. files: 6.
Name of Recommending CFI (must match 8710)*
First Middle Last Suffix
Recommending CFI's Flight Instructor Certificate Number*
Recommending CFI's CFI Expiration Date*
Month
Day
Year
Upload copy of RECOMMENDING CFI Checkride Endorsements*
Drop files here or

Max. file size: 32 MB, Max. files: 5.
Name of Airport for Practical Test*
Name of Airport for Practical Test (if Other)*
Street Address of Airport for Practical Test*
Street Address City State / Province / Region ZIP / Postal Code Country
Is Applicant a graduate of an Approved Course (i.e. 141 or 142 school)*
Name of Training School*
Location of Training School*
Certification Number of Training School*
Curriculum from which Applicant Graduated*
Upload Copy of Training School Certificate*
Max. file size: 32 MB.
Applicant's FTN:*
Applicant's Date of Birth*
Month
Day
Year
Applicant's Nationality*
Nationality*
Does Applicant hold a current FAA Medical Certificate (or Military Equivalent)?*
What type of FAA Medical Certificate*
Date FAA Medical Certificate Issued:*
Month
Day
Year
Upload copy of Current FAA Medical Certificate*
Max. file size: 32 MB.
Applicant's FAA Knowledge Test Score (enter "0" if not req'd)*
Please enter a number from 0 to 100.
Date of Applicant's FAA Knowledge Test*
Month
Day
Year
Upload copy of Applicant's FAA Knowledge Test Score*
Max. file size: 32 MB.
For Initial CFI - FOI Test Date (if required)
Month
Day
Year
FOI Test Score (if required)
Please enter a number from 0 to 100.
Upload copy of Applicant's FOI Test Score*
Max. file size: 32 MB.
For Initial CFI - FIA Test Date:*
Month
Day
Year
FIA Test Score:*
Please enter a number from 0 to 100.
Upload copy of Applicant's FAI Test Score*
Max. file size: 32 MB.
For Add-On Instrument CFI - CFII Test Date:*
Month
Day
Year
For Add-On Instrument CFI - CFII Test Score:*
Please enter a number from 0 to 100.
Upload copy of Applicant's CFII Test Score*
Max. file size: 32 MB.
Hidden
Principal Airport Used for Primary Training*
Principal Airport Used for Primary Training*
Applicant's Cell Phone*
Applicant's E-Mail Address:*
Enter Email Confirm Email

If applicant does not have e-mail, enter instructor's e-mail address here
Recommending CFI's Cell Phone*
Recommending CFI's E-Mail Address*
Enter Email Confirm Email
Gov't Issued ID
Drop files here or

Max. file size: 32 MB, Max. files: 2.
Upload a copy of your U.S. Government Issued ID

Save & Continue

The FINAL APPROACH to your Check-Ride (i.e. Tips from your DPE)

Practical Test Confirmation

Your Practical Test IS NOT CONFIRMED unless and until you have received an e-mail confirming the test is CONFIRMED

Contacting DPE

If you need to cancel your scheduled practical test for any reason such as weather, aircraft maintenance issues, illness, etc. - Please contact the DPE, Mr. Luke Closson at either of the following numbers as soon as practical.

Aviation Intake

Certificate Applicant is Seeking to Obtain*
If CFI - Select Type (i.e. Initial, Add-on, Renewal, or Reinstatement)*
If CFI Add-on - Select Type of Add-On*
IF Ground Instructor - Select Type*
Rating Applicant is Seeking to Obtain*
Is this a continuation of a discontinued practical test?*
Is this a RETEST after a disapproval for the certificate or rating for which you are applying?*
Type of aircraft to be used for practical (i.e. CE-172S, PA-28, etc) NOTE: MUST EXACTLY MATCH IACRA 8710: II A. 1. including model of aircraft*
Date of Practical Test (as agreed with DPE)*
Month
Day
Year
Time of Practical Test (as agreed with DPE)*

: Hours

Minutes

AM/PM
Appplicant's Name (MUST BE IDENTICAL to name on 8710 in IACRA, Knowledge Test Results, Pilot Certificate, Medical Certificate and Gov't Issued ID)*
VERY IMPORTANT NOTE: The DPE IS REQUIRED BY THE FAA TO TERMINATE the check-ride if any of these do no match PERFECTLY (including suffix). i.e. If a Middle Initial is used on one required document and the Middle Name is spelled out on another required document, then those documents ARE NOT IDENTICAL and the DPE is prohibited from administering the scheduled check-ride.
First Middle Last Suffix
Certificates CURRENTLY held by Applicant (select all Applicant Holds)*
- Student
- Private
- Recreational
- Sport
- Commercial
- ATP
Date of Most Recently Issued Certificate*
Month
Day
Year
Applicant's Certificate Number:*
Upload copy of FRONT & BACK of Applicant's FAA Certificate (INCLUDING STUDENT Certificates)*
Drop files here or

Max. file size: 32 MB, Max. files: 6.
Name of Recommending CFI (must match 8710)*
First Middle Last Suffix
Recommending CFI's Flight Instructor Certificate Number*
Recommending CFI's CFI Expiration Date*
Month
Day
Year
Upload copy of RECOMMENDING CFI Checkride Endorsements*
Drop files here or

Max. file size: 32 MB, Max. files: 5.
Name of Airport for Practical Test*
Name of Airport for Practical Test (if Other)*
Street Address of Airport for Practical Test*
Street Address City State / Province / Region ZIP / Postal Code Country
Is Applicant a graduate of an Approved Course (i.e. 141 or 142 school)*
Name of Training School*
Location of Training School*
Certification Number of Training School*
Curriculum from which Applicant Graduated*
Upload Copy of Training School Certificate*
Max. file size: 32 MB.
Applicant's FTN:*
Applicant's Date of Birth*
Month
Day
Year
Applicant's Nationality*
Nationality*
Does Applicant hold a current FAA Medical Certificate (or Military Equivalent)?*
What type of FAA Medical Certificate*
Date FAA Medical Certificate Issued:*
Month
Day
Year
Upload copy of Current FAA Medical Certificate*
Max. file size: 32 MB.
Applicant's FAA Knowledge Test Score (enter "0" if not req'd)*
Please enter a number from 0 to 100.
Date of Applicant's FAA Knowledge Test*
Month
Day
Year
Upload copy of Applicant's FAA Knowledge Test Score*
Max. file size: 32 MB.
For Initial CFI - FOI Test Date (if required)
Month
Day
Year
FOI Test Score (if required)
Please enter a number from 0 to 100.
Upload copy of Applicant's FOI Test Score*
Max. file size: 32 MB.
For Initial CFI - FIA Test Date:*
Month
Day
Year
FIA Test Score:*
Please enter a number from 0 to 100.
Upload copy of Applicant's FAI Test Score*
Max. file size: 32 MB.
For Add-On Instrument CFI - CFII Test Date:*
Month
Day
Year
For Add-On Instrument CFI - CFII Test Score:*
Please enter a number from 0 to 100.
Upload copy of Applicant's CFII Test Score*
Max. file size: 32 MB.
Hidden
Principal Airport Used for Primary Training*
Principal Airport Used for Primary Training*
Applicant's Cell Phone*
Applicant's E-Mail Address:*
Enter Email Confirm Email

If applicant does not have e-mail, enter instructor's e-mail address here
Recommending CFI's Cell Phone*
Recommending CFI's E-Mail Address*
Enter Email Confirm Email
Gov't Issued ID
Drop files here or

Max. file size: 32 MB, Max. files: 2.
Upload a copy of your U.S. Government Issued ID

Save & Continue

Cell - (229) 503-4221 (Please call or text, DO NOT leave VoiceMail) - When texting...PLEASE include your name in every text message

If your Flight Test is at Quitman-Brooks County (4J5) - Taxi towards the rotating beacon and wind sock and look for the hangar marked "Aero Tech Services" (see photo below).

Your Practical Flight Test w/FAA DPE Luke E. Closson, Jr.

Please Read Everything BEFORE Completing the Form Below

THERE IS A REQUIREMENT TO UPLOAD DOCUMENTS
(SEE BELOW for instructions)

DO NOT COMPLETE THIS FORM UNTIL
the Applicant's 8710 on IACRA has been electronically signed

The FINAL APPROACH to your Check-Ride (i.e. Tips from your DPE)

Practical Test Confirmation

Contacting DPE

Aviation Intake

Your Practical Flight Test w/FAA DPE Luke E. Closson, Jr.

Please Read Everything BEFORE Completing the Form Below

THERE IS A REQUIREMENT TO UPLOAD DOCUMENTS (SEE BELOW for instructions)

DO NOT COMPLETE THIS FORM UNTIL the Applicant's 8710 on IACRA has been electronically signed

The FINAL APPROACH to your Check-Ride (i.e. Tips from your DPE)

Practical Test Confirmation

Contacting DPE

Aviation Intake

THERE IS A REQUIREMENT TO UPLOAD DOCUMENTS
(SEE BELOW for instructions)

DO NOT COMPLETE THIS FORM UNTIL
the Applicant's 8710 on IACRA has been electronically signed