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pdfOMB CONTROL NUMBER: 2120-0040
EXPIRATION DATE: 04/30/2022
Paperwork Reduction Act Burden Statement
A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure
to comply with a 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. Public reporting
for this collection of information is estimated to be between 20 to 80 hours to complete this form, including the time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information, to include the attachments needed for application.
All responses to this collection of information are required to obtain or retain a benefit under 14 CFR part 147. 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.
Instructions for Completing FAA Form 8310‐6
An electronic, fillable version of FAA Form 8310‐6 is available at www.faa.gov.
Make all entries using permanent dark blue or black ink, or a typewriter or printer.
Electronic signatures are acceptable when the form is submitted electronically.
Section A. Applicant
Section C. Facilities
1. Name of School. Enter the name of the school making application. This is
1. Physical Address of Primary School Location. Enter the physical address of
the name that will be entered on the Air Agency Certificate. If requesting a
the primary location of the school. This is the address that will be entered
name change, enter the name currently on the Air Agency Certificate. Refer
on the Air Agency Certificate.
to Section B for name change.
2. Mailing Address of School. Enter the address where the school will receive
2. Additional Business Names (Doing Business As (DBA)). Enter any DBA to be
official mail. If the block “Same as Physical Address” is marked, then the
used by the school in the conduct of part 147 training operations.
mailing address may be left blank.
3. Name of Contact/Training Director. Enter the name of the school’s primary 3. Physical Address of Additional Training Locations. Enter the physical
point of contact for receiving FAA communications.
address of each additional training location being requested. Attach a
4. Contact Telephone No. Enter the telephone number of the school’s primary
separate sheet listing additional locations if needed. If attaching a separate
sheet, mark the block indicating additional locations are attached.
point of contact for receiving FAA communications.
5. Contact Email Address. Enter the email address of the school’s primary
NOTE: Foreign addresses should be entered as appropriate to the address
point of contact for receiving FAA communications.
format of the country where the certificate will be issued.
Section B. Purpose of Application
1.
2.
3.
Section D. Application Attachments
Mark the appropriate blocks to indicate the application attachments.
ORIGINAL CERTIFICATE. If making an original application for an Air Agency
Additional attachments may be annotated in the “Other” block.
certificate, mark this block. Complete additional blocks in this section as
Descriptions of Facilities, Equipment, and Materials. These are the
appropriate:
descriptions required by 147.5(b) (1). Descriptions must be included for
a. Rating(s) requested: Mark one or more blocks to indicate the rating(s)
each training location of the school.
being requested by the school.
Description of Curriculum. This is the description required by § 147.5(b) (2).
b. Additional Training Locations. Indicate if requesting additional training
Description of Instructor Requirements. This is the description required by
locations during initial certification. If yes, include the address of all
147.5(b)(3).
additional locations in Section C. Ensure the attachments listed under
Curriculum. Required by § 147.5(b) (4).The school must show it has a
Section D include information relative to each additional training
curriculum meeting the requirements of by §147.17.
location(s).
Evidence of Instructor Qualifications. Required by § 147.5(b)(4). The school
AMENDED CERTIFICATE. If making application for an amended Air Agency
must show how it meets the requirements of § 147.19.
certificate, mark this block. Complete additional blocks in this section as
Evidence of Accreditation. Required by § 147.5(b) (4). The school must
appropriate:
show how it meets the requirements of § 147.23(a) (1), if applicable.
a. Added rating: Mark appropriate blocks to indicate the rating(s) being
Quality Control System. Required by § 147.5(b) (4). The school must show
added.
how it meets the requirements of § 147.23(a) (2), and submit its procedures
b. Removed rating: Mark appropriate blocks to indicate the rating(s) being
for FAA approval, if applicable.
removed.
Other. Mark this block if including additional attachments. List the
c. Change in location. Mark this block if requesting a change in the
attachments by name.
primary location of the school. Enter the new physical and/or mailing
address of the primary location in Section C.
Section E. Applicant’s Certification
d. Change of name. Mark this block if requesting a name change or for the
Name of Authorized Representative of Applicant. Print the name of the
addition or changes to the additional business name(s) (DBA) for the
individual authorized to make application on behalf of the school applicant
school. Enter the new name of the school, or the added/removed DBA
described in Section A.
of the school in this block.
Title of Authorized Representative of the Applicant. Enter the title used by
OTHER. Mark this block if the purpose for application is other than one of
the authorized representative.
those listed above.
Date. Enter the date the application was signed, using MM/DD/YYYY format.
a. Explain the reason for submission. If more space is needed an additional Authorized Representative Signature. The person authorized to make
page or pages may be attached.
application on behalf of the school must sign their name.
Section F. FAA Certification Action
This section is for FAA use only.
FAA Form 8310‐6 (04‐22) SUPERSEDES PREVIOUS EDITION
Detach this supplemental information before submitting the attached form
i
TYPE OR PRINT ALL ENTRIES IN DARK INK
OMB No. 2120‐0040
Exp. 04/30/2022
Aviation Maintenance Technician School
Certificate and Ratings Application
A. APPLICANT
1. Name of School
2. Additional Business Names (Doing Business As (DBA)) (If applicable)
3. Name of Contact/Training Director
4. Contact Telephone No.
5. Contact Email Address
B. PURPOSE OF APPLICATION
a. RATINGS REQUESTED (Specify):
☐ AIRFRAME ☐ POWERPLANT
1. ☐ ORIGINAL CERTIFICATE
b. ADDITIONAL TRAINING LOCATIONS REQUESTED (during initial certification):
☐ NO
☐ AIRFRAME AND POWERPLANT
a. ☐ ADDED RATING (Specify): ☐ AIRFRAME
☐ YES (Enter address information in section C below)
☐ POWERPLANT
☐ AIRFRAME AND POWERPLANT
2. ☐ AMENDED CERTIFICATE
b. ☐ REMOVED RATING (Specify): ☐ AIRFRAME
☐ POWERPLANT
☐ AIRFRAME AND POWERPLANT
(Indicate only those items that
c. ☐ CHANGE OF LOCATION (Primary Location) (Enter new physical and/or mailing address in section C below)
are additions/changes to what
d. ☐ CHANGE OF NAME: (Enter new name or changes to DBA)
is currently approved.)
a. IDENTIFY REASON FOR SUBMISSION:
3. ☐ OTHER
C. FACILITIES
1. PHYSICAL ADDRESS OF PRIMARY SCHOOL LOCATION.
Address
City
State
Zip Code
Country
2. MAILING ADDRESS OF SCHOOL ☐ Same as Physical Address.
Address
City
State
Zip Code
Country
3. PHYSICAL ADDRESS OF ADDITIONAL TRAINING LOCATIONS. (List additional locations on separate sheet if needed) ☐ Additional Locations Attached
Address
City
State
Zip Code
Country
Address
City
State
Zip Code
Country
1D. APPLICATION ATTACHMENTS
☐ Description of Facilities (each location)
☐ Description of ensuring instructor requirements
☐ Quality Control System (as applicable)
☐ Description of equipment (each location)
☐ Curriculum
☐ Description of materials (each location)
☐ Evidence of instructor qualifications
☐ Other (list other application attachments):
__________________________________
☐ Description of curriculum
☐ Evidence of accreditation (as applicable)
______________________________________
E. APPLICANT’S CERTIFICATION
NAME OF AUTHORIZED REPRESENTATIVE OF THE APPLICANT (Print Name)
TITLE OF AUTHORIZED REPRESENTATIVE OF THE APPLICANT (Print Title)
I hereby certify that I have been authorized by the school identified in section A to make this application and that statements and attachments hereto
are true and correct to the best of my knowledge.
DATE (MM/DD/YYYY)
AUTHORIZED REPRESENTATIVE SIGNATURE
F. FAA CERTIFICATION ACTION (FOR FAA USE ONLY)
ACTION TAKEN
☐ APPROVED
☐ DISAPPROVED (Certificate NOT Issued)
Date
FAA Signature
(Print Name and Sign)
FAA Form 8310‐6 (04/22) SUPERSEDES PREVIOUS EDITION
CERTIFICATE ISSUED
Number:
Date:
Ratings Issued:
☐ AIRFRAME ☐ POWERPLANT ☐ AIRFRAME AND POWERPLANT
FAA Office/Designation No.
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File Type | application/pdf |
File Title | Microsoft Word - Draft new 8310-6 |
Author | Tanya Glines |
File Modified | 2022-05-20 |
File Created | 2022-05-20 |