
SAN ANDREAS AVIATION ADMINISTRATION
LICENSING: LICENSES FOR FLIGHT INSTRUCTORS
PERSONAL INFORMATION
Full name: Ximena Nieves Carillo
Contact number: 2075683
Residential Address: 100 Fudge Ln
BACKGROUND
Flight School/Aviation Academy: Senora Air
License(s) you already possess (Mark with X):
[X] Pilot License - Airplane
[ ] Pilot License - Helicopter
[ ] Certified Flight Instructor - Airplane
[ ] Certified Flight Instructor - Helicopter
[ ] Practical Examiner - Airplane
[ ] Practical Examiner - Helicopter
FLIGHT EXPERIENCE
Specify the amount flight hours you have accumulated for each category as a Pilot in Command:
- Single-Engine, Fixed-wing: 7897
- Multi-Engine, Fixed-Wing: -
- Tail-wheel: -
- Single-Engine Helicopter: -
- Multi-Engine Helicopter: -
- Ultralight: -
Specify the amount flight hours you have accumulated for each category as a Co-Pilot:
- Single-Engine, Fixed-wing: 43
- Multi-Engine, Fixed-Wing: -
- Tail-wheel: -
- Single-Engine Helicopter: -
- Multi-Engine Helicopter: -
- Ultralight: -
LICENSE REQUESTED
Which license are you requesting? (Mark with X)
[X] Certified Flight Instructor - Airplane
[ ] Certified Flight Instructor - Helicopter
ACKNOWLEDGEMENT & AUTHORIZATION
By submitting this request, I, Ximena Nieves Carillo, hereby certify that the above statements are true and correct to the best of my knowledge. I fully authorize the investigation of any content shared on this document. I am aware that lying, omitting, or maliciously adulterating this request will result in immediate rejection and an indefinite ban from applying for a flight instructor certification.