DPE Schedule Request - Gentle Breeze Hot Air Ballooon Rides

<—NOTE—> This form is for flight exams only not for balloon rides! <—NOTE —>

Scheduling information: Dates/Times available via Availability links/buttons at the end of the form and updated real time. Due to multiple schedules, times may be adjusted after confirmation. Dates confirmed after receipt/review of the DPE Request Form - forms submitted without date-reservations processed workload permitting, expect delayed response/confirmation.

All out of area check-rides require pre-payment of travel expenses. Travel expense details provided upon receipt of destination location and time(s).

Currently accepting requests for students receiving training from the following airport identifiers:

AMT, CVG, DAY, GEO, HAO, HOC, ILN, MGY, MWO, SGH, OXD, I19, I66, I67, I68, I69, I73, I74, K62, 40I

PLEASE NOTE: Due to limited availability with the holiday season, there is no availability through mid-January 2024. As dates become available, they will appear with the ASEL/AMEL calendar at the bottom of the this form.

DPE Scheduler

Required for check-ride scheduling and confirmation. Real-Time Availability via Calendar Buttons at bottom of this form. Requests adjusted for scheduling efficiency. Date/Time of day will be assigned.

"*" indicates required fields

Hidden

Request Test Date

Real-Time Availability via Calendar Buttons at bottom of this form. Requests adjusted for scheduling efficiency. Date/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*

Training Airport or Flight School

Please let me know where you maybe flying in from and/or the flight school that did your training, if applicable.

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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ASEL & AMEL Calendar

CFI Initial Calendar

LTA Availability