3_F2F_Flight_School_Checklist.docx

Attachment 3: Flight School Checklist for Student Eligibility

The below checklist should be completed and signed by the flight school and submitted as a separate document for each student selected to: Contracting Officer (Camille.Hogan@dot.gov) and Contracting Officer Representative (Rachael.Sack@dot.gov).

Student No. __

Flight School ________________________________________________________

Student’s Full Name__________________________________________________

Check each box below to confirm the flight school has received and will be able to securely maintain the following documents for the student named above:

Photocopy of legal identification proving the applicant is at least 21 years of age.

Photocopy of Form DD214 (Member 4 copy only) showing that the applicant has an honorable discharge or other evidence of active/reserve component service. Information on how to retrieve a DD214 can be found at: https://www.archives.gov/veterans/military-service-records.

Photocopy of the applicant’s student pilot’s certificate. IACRA registration information can be found at: https://iacra.faa.gov/IACRA/SelectRoles.aspx.

Photocopy of a first class medical certificate. Information on the requirements for the first class medical certificate can be found at: https://www.faa.gov/about/office_org/headquarters_offices/avs/offices/aam/ame/guide/standards/.

Signed Student Eligibility Statement

Letter of reference from a previous or current commanding officer, teacher/instructor/professor, or supervisor/manager.

Written confirmation that the student plans to apply GI Bill funding and/or other funding sources in the amount of $13,526 to the school.

As an authorized agent of , by my signature I verify that Company Name

Company Name has collected the above items for and after a due diligence Student Name review of the documents and their content believe they are accurate and correct.

Company Name:

Signature:

Print Name:

Date:

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