18 Par 48
AC 141-IA
2/18/93
Appendix 1
APPENDIX 1. APPLICATION INFORMATION
GENERAL
This appendix contains a sample of the following:
Figure 1. Pilot School Certificate Figure 2. Letter of Intent Figure 3. Application for Pilot School Certificate (FAA Form 8420-8)
Figure 4. FAA Letter of Approved Courses Figure 5. FAR Part 141 Certification Process
The information used for these samples is solely for illustrative purposes.
AC 14191A
Appendix 1 2/18/93

UNITED STATES OF AMERICA
DEPARTMENT OF TRANSPORTATION
FEDERAL AVIATION ADMINISTRATION

&dew
TELS210F

1862
 BULL RUN ~IIXI,E
MANASSAS,
 VIRGINIA 22030

PRIVA'IEPILMT
cmMERcIALPILm
PRIVATE PILDI'TEST OXJRSE INSTRUMENT RATING FLIGHT INSTRUCKlR
AIRLINE'IRANSPORT PILMT

9tzc;lM:
APRIL 9, 1991
Ma,
AEAFSDo#Zj

This
mficatc
if3
not
l&ransfcrablc,
AND ANY YAIOR
CHAWGE
IN THE BASIC FACILlflES,
OR IN THE LOCATION THEREOF,
SHALL
BE IYMEDIAYELY
REPORTED TO THE APPROPRIATE REGIONAL OFFICE OF THE FEDERAL AVIATION ADllNlSTRAllON

Any alteration of this
certificate is punishable by a fine of not exceeding $1,000, or imprisonment not exceeding 3 yews,
or both
FM Form 80004
(l-67) SUPERSEDES FAA FORM 390.

Figure 1. Pilot School Certificate
TRAVIS AVIATION
1862 Bull Run Circle
Manassas, Virginia 22030
(703) 4-TRAVIS

April 2,
1991

Federal Aviation Administration Washington FSDO600 West Service Road Chantilly, Virginia 22033
Gentlemen:

This is to notify the Federal Aviation Administration of ourintent to become an Approved Pilot School under Part 141 of theFederal Aviation Regulations.
We are prepared to begin operations on April 9, 1991, and areready for your certification inspection. Enclosed are two copies(an original and a facsimile) of FAA Form 8420-8. We anticipatethat operations will be conducted from Hangar 6, Manassas Airport,and from Hangar 1, Centreville Airport. Our primary airportaddress is Building 3, Airport Road, Manassas, Virginia 22033.We intend to operate two Cessna 152s,
one Cessna 182RF,
one PA-32 Piper Seneca, and a Robinson R-22 helicopter.
Mr. Robert Cartwright, holder of Airline Transport PilotCertificate number 543848384, is the Chief Instructor for all courses and meets the Chief Flight Instructor requirements ofFAR §
141.35. I have attached a copy of his pilot resume that maybe verified when your inspection is conducted.
Also enclosed are two copies of each Training Course Outline foryour review and approval.

Figure 2. Letter of Intent
AC 14191A
Appendix 1 2ml93

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