DPE Schedule Request - Gentle Breeze Hot Air Ballooon Rides

DPE Scheduler

Required for check-ride scheduling and confirmation.

"*" indicates required fields

Request Test Date*

Real-Time Availability via Calendar Buttons at bottom of this form. Requests adjusted for scheduling efficiency. Time of day will be assigned.

Applicant Name*

Applicant's FTN#*

FTN #, usually beginning with an A or C.

Applicant's Current Certificate #*

Your current Certificate number as printed/shown on your current certificate.

If applying for a Student Certificate, enter "Student" or "None".

Applicant's Phone*

Applicant's Email*

Recommending Instructor's Name*

Recommending Instructor's Certificate #*

Found on the IACRA Application or your logbook endorsements.

Recommending Instructor's Phone*

Applying for Grade of Certificate*

Type of Test

Aircraft Category*

Aircraft Make and Model:*

Nearest Airport Identifier*

Hidden

Address of Test Location (Airport):

Street Address Address Line 2 City State ZIP Code

Written Test Codes Missed (AKTR Codes):

Additional Comments/Information:

141 School Certificate #, if applicable:

141 Graduate Certificate Date

Check the items completed:*

I completed my IACRA application

I SUBMITTED my IACRA application

My INSTRUCTOR SIGNED my IACRA application

Check that you have completed the REQUIRED items. Items not checked may prevent reserving checkride request.

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Scheduling information: Dates/Times available via the Availability buttons updated real time. Due to multiple schedules, times may be adjusted after confirmation. Dates confirmed after receipt/review of the DPE Request Form. All out of area check-rides require pre-payment of travel expenses. Travel expense details provided upon receipt of destination location and time(s).

ASEL & AMEL Calendar

CFI Initial Calendar

LTA Availability

ASEL/AMEL Regional Calendar