8310-6 Aviation Maintenance Technician School Certificate and R

OMB CONTROL NUMBER: 2120-0040
EXPIRATION DATE: 09/30/2019
Paperwork Reduction Act Burden Statement:
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collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB Control
Number. The OMB Control Number for this information collection is 2120-0040. It is estimated that it will take each applicant between 40 to 80 hours to
complete including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, completing and reviewing
the collection of information.
All responses to this collection of information are required to obtain or retain a benefit, Title 14 CFR Part 147. Respondents are not given an assurance of
confidentiality. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this
burden to: Information Collection Clearance Officer, Federal Aviation Administration, 10101 Hillwood Parkway, Fort Worth, TX 76177-1524

Form Approved. OMB No. 2120-0040
09/30/2019

AVIATION MAINTENANCE TECHNICIAN SCHOOL CERTIFICATE AND RATINGS APPLICATION
U S Department of Transportation
Federal Aviation Administration

INSTRUCTIONS: Type or print in ink. Submit original and two copies of this form (complete this side ONLY) and two copies of all attachments to the
nearest FAA General Aviation District Office or Air Carrier District Office as set forth in Federal Aviation Regulations, Part 147.

1. NAME OF SCHOOL

2. TELEPHONE NO.

3. ADDRESS (Number, street, city, state, & ZIP Code)

4. TRAINING DIRECTOR

5. APPLICATION SUBMITTED FOR (Check as applicable)

6. RATING(S) APPLIED FOR AND TOTAL
HOURS PER COURSE

ORIGINAL CERTIFICATE

RATINGS

7. MAXIMUM NO. OF STUDENTS
ENROLLED AT ANY ONE TIME

TOTAL HOURS

DAY

EVENING

AIRFRAME (A)
CHANGE IN RATING (Specify)

POWERPLANT (P)

A&P

CHANGE IN OWNERSHIP (Specify)

7A. MAXIMUM TOTAL
SCHOOL ENROLLMENT

CHANGE IN LOCATION, FACILITIES, AND EQUIPMENT (Specify)

8. SCHOOL STATUS (Check as applicable)
CHANGE IN ENROLLMENT (Specify)

NON-PROFIT

PRIVATE

PUBLIC

9. SCHOOL LOCATION (Check as applicable)
OTHER (Specify)

ON AIRPORT

HOURS
PER WEEK

RATINGS

DAY

EVENING

IN CITY

10. COURSE CHARACTERISTICS
ENROLLMENT
INSTRUCTION
WEEKS
PERIODS PER YEAR
HOURS PER
PER COURSE
FOR
DAY

EVENING

DAY

EVENING

DAY

EVENING

IN SUBURBS

ENTRANCE REQUIREMENTS
SCHOLASTIC
PHYSICAL
DAY

YES

NO

EVENING

YES

DAY

NO

EVENING

YES NO YES NO

AIRFRAME (A)
POWERPLANT (P)

A&P
11. ATTACHMENTS (Check applicable items)

A. PROPOSED CURRICULUM
B. LIST OF FACILITIES AND EQUIPMENT TO BE USED

F. SCHEDULE OF REQUIRED TESTS

C. PHOTOGRAPHS OF FACILITIES

G. COPY OF STUDENT RECORD SYSTEM

D. LIST OF INSTRUCTORS- NAMES, CERTIFICATE NOS., TYPE,
AND RATINGS HELD, AND SUBJECTS TO BE TAUGHT

H. OTHER (Specify)

E. LIST OF REQUIRED PRACTICAL PROJECTS

12. APPLICANT'S CERTIFICATION

NAME OF OWNER (Include name(s) of individual owner, all partners, or corporation name giving State and date of incorporation)

I hereby certify that I have been authorized by the school identified in item 1 to make this application and that statements and attachment hereto are true and
correct to the best of my knowledge.
AUTHORIZED SIGNATURE

TITLE

DATE

13. CERTIFICATION ACTION (FOR FAA USE ONLY)
CERTIFICATE NO. ASSIGNED

ACTION

RATINGS

INDICATE RATING(S)
ISSUED
DAY

APPROVED

EVENING

APPROVED MAXIMUM
ENROLLMENT FOR
DAY

EVENING

AIRFRAME (A)
FAA FORM 8310-4 FORWARDED ON

DISAPPROVED

POWERPLANT (P)

A&P

REMARKS

14. DATE CERTIFICATE ISSUED

FAA Form 8310-6 (1-83)

15. OFFICE IDENTIFICATION

16. ISSUING OFFICIAL'S SIGNATURE

Page 1 of 2

RIS: FS 8310-4

AVIATION MAINTENANCE TECHNICIAN SCHOOL INSPECTION REPORT
(FOR FAA USE ONLY)
INSTRUCTIONS: The items listed below are applicable to certification inspection and/or to surveillance. Complete each item. If an item is not applicable
indicate entry as ''NA''.
3. TYPE OF INSPECTION AND DATE

2. CERTIFICATE NO.

1. NAME OF SCHOOL

SURVEILLANCE

SESSION

CERTIFICATION

DAY
EVENING
4. SCHOOL CHARACTERISTICS

b. TOTAL NUMBER
OF INSTRUCTORS

a. PRESENT
ENROLLMENT

SESSION

AIRFRAME

POWERPLANT

A&P

CERTIFICATED

NONCERTIFICATED

c. MAXIMUM HRS. TRAINING PER WEEK PER
STUDENT (Exclusive of
lunch or rest periods)
AIRFRAME

POWER
PLANT

A&P

d. RATINGS APPLIED
FOR OR NOW IN
EFFECT
POWER
PLANT

AIRFRAME

A&P

e. DATE OF APPROVAL
FOR CURRICULUM
NOW IN USE
AIRFRAME

POWER
PLANT

A&P

DAY

EVENING
AIRFRAME (A)

POWERPLANT (P)

A&P

5. How many students were graduated during the previous 12 months?

a. Classroom

1 to

1 to

1 to

b. Shop

1 to

1 to

1 to

6. Instructor/student radio.

7. Number of hours in approved curriculum.

Hrs.

Hrs.

Hrs.
YES

NO

8. Is certificate current and properly displayed?
9. Does the curriculum in use meet the requirements of FAR 147?
10. Is the approved curriculum actually being followed?
11. Do facilities and equipment continue to meet the certification requirements of FAR 147?
12. Are necessary materials, tools, and equipment available and serviceable for training?
13. Is there a sufficient number of qualified instructors?
14. Has there been any change in instructor or administrative personnel since the last inspection? (If ''YES, '' explain in Remarks)
15. Is classroom and shop space suitable for courses given and number of students?
16. Are the instructional aids (mockups, projectors, charts, films, etc.) current, specifically applicable to the curriculum, and sufficient for all
phases of training?
17. Are there sufficient copies of FAR's. manufacturer's instructions, etc.?
18. Have proper safety measures been taken to insure protection of students operating hazardous equipment including facilities for running
engines?
19. Are student records current and do they reflect:
a. Daily actual hours students have been in class?
b. Progress through courses in the curriculum including accomplishment of laboratory and shop projects?
c. Grades for all courses including quizzes, tests. and practical projects?
20. REMARKS AND ITEMS TO FOLLOW UP ON NEXT INSPECTION (Use additional sheets if more space is needed)

21. INSPECTION RESULTS

22. OFFICE IDENTIFICATION

23. INSPECTOR'S SIGNATURE

SATISFACTORY
UNSATISFACTORY
OTHER
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