Non EASA Prerequisite Requirements (Rotor Wing)

To: FlightSafety International Phone: Email:

From: Phone: Email:

Company Name: Company Contact Name:

Pilot Name: Pilot Certificate #:

Course Start Date: Grade:

General client requirements and information. All clients must complete this section.
Pilot Total time 1000 Minimum: Yes No Prior Experience Courses only: Meets the Minimum Course
prerequisities for the 61.63 / 61.157 Initial course. Yes No
Note: A minimum of 1000 hours is required for any course leading to a
PIC rating or PIC privileges. Less requires a waiver from the Vice Has successfully completed an FAA or ICAO Initial or Recurrent for
President of Operations. his aircraft within the previous 18 months? Yes No
Pilot Time Turbine Powered helicopter
If NO, then please choose one of the following:
Instrument Rating Helicopter: Yes No
Has successfully completed an FAA/ICAO Initial or Recurrent for this
Type Ratings Held: aircraft within the previous 36 months and is currently serving as a
U.S. Certificate Holders Only required crew member (PIC/SIC). Yes No

Select one of the following options:

OR: Holds a valid Pilot Certificate issued by the FAA/ICAO and has
Must bring proof of previous, unrestricted type rating (or military logged at least 100 hours in the previous 18 months as a required
PIC experience) in order to receive a 100% check in a level C or
D simulator. Yes No crew member PIC/SIC in the same aircraft. Yes No

I have 1000 hours total time in two different helicopters. Yes No OR: Holds a valid Pilot Certificate issued by the FAA/ICAO and has
logged at least 100 hours in the previous 18 months as an FAA
I have 500 hours of flight time in same type of helicopter Yes No or JAA/EASA flight instructor in the same aircraft. Yes No

If none of the options above are met the applicant will receive a
25 hour Supervised Operational Experience (SOE) limitation. Yes No

Airline Transport Pilot (ATP) Applicants Section

Meets eligibility requirements of 61.153: Yes No
Meets experience required by 61.161: Yes No
A U.S. commercial pilot certificate w/instrument rating: Yes No

Military experience meets 61.73 requirements: Yes No

A foreign ICAO airline transport pilot license: Yes No

Landing Currency requirements for training in a FTD:
A foreign ICAO commercial pilot license and instrument
No
If Training in a FTD has the Applicant completed three take-offs and
rating without limitations: Yes
landings in this category of aircraft in the preceding 90 days?
Passed the ATP training and knowledge test required Yes No
by 14CFR part 61.155, proof must be provided: Yes No
Clients seeking a U.S. ATP based on a foreign
certificate; First Class Medical Certificate, Current letter
of Verification (VOA) must not expire prior to practical
test: Yes No

Second In Command (SIC) Applicants Program Specific prerequisite requirements: insert any prerequisites that are program specific
in the spaces provided below:
Hold at least a Private Pilot Certificate with Yes No
Instrument Rating:
Yes No Yes No

Yes No

Prerequisite Requirements certified by:

Name of Client: Signature of Client:

FlightSafety International certifies that based on information provided by the client all prerequisite requirements for course being attended have been
verified.
Name and Title of FlightSafety Teammate:

Date: Signature of FlightSafety Teammate:

QFM-75-08-00-2005 Non EASA Prerequisite Requirements (Rotor Wing), Rev. 1.1 Page 1 of 1
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