Form 8710-11 Airman Certificate and/or Rating Application-Sport Pilot

U.S. Department of Transportation
Federal Aviation Administration

FAA Form 8710-11, Airman Certificate and/or Rating Application

Supplemental Information and Instructions
OMB Control Number: 2120-0690
Expiration Date: 12/31/2025

Paperwork Reduction Act 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 2120-0690. Public reporting for this
collection of information is estimated to be approximately 15 minutes per response, 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 a benefit under 14 CFR Part 61 and Part 183. Send comments regarding this burden
estimate or any other aspect of this collection of information, including suggestions for reducing this burden
to the FAA at: 800 Independence Ave. SW, Washington, DC 20591, Attn: Information Collection Clearance
Officer, AES-200.

Privacy Act Statement
Privacy Act Statement (5 U.S.C. § 552a(e)(3)):
Authority: The authorities for collecting information by the FAA Form 8710-11, Airman Certificate
and/or Rating Application – Sport Pilot, is 49 U.S.C. 40113, 44702, 44703, 44709, 44710, 44711(a)(2)
and 14 CFR Part 61.
Purpose: The FAA Form 8710-11 collects the applicant’s name, social security number (optional), date
of birth, place of birth, address and certificate number. The principal purpose for collecting the information
is to identify and evaluate your qualifications and eligibility for the issuance of an airman certificate and/or
rating.
Routine Uses: The information collected by FAA Form 8710-11 is shared in accordance with the Privacy
Act system of records notice (SORN) DOT/FAA 847 ‐ Aviation Records on Individuals (89 75 FR 48956
‐ June 10, 2024).
Disclosure: Submission of this data is mandatory, except for the social security number, which is optional.
However, an incomplete submission may result in delay in a response and/or an inability to process the
application.

FAA Form 8710-11 (03/25)

i

Your signature on this form (FAA Form 8710-11) acknowledges that you received the Pilot’s
Bill of Rights Written Notification of Investigation at the time of this application.

PILOT’S BILL OF RIGHTS WRITTEN NOTIFICATION OF INVESTIGATION
The information you submit on the attached FAA Form 8710-11, Airman Certificate and/ or Rating
Application - Sport Pilot, will be used by the Administrator of the Federal Aviation Administration
as part of the basis for issuing an airman certificate and/or rating to you under Title 49, United States
Code (U.S.C.) section 44703(a), if the Administrator finds, after investigation, that you are qualified
for, and physically able to perform the duties related to the certificate and/or rating for which
you are applying. You also submit FAA Form 8710-11 with documentation to the Administrator
to identify and validate flight instructor recent experience (recency). Therefore, in accordance with
the Pilot’s Bill of Rights, the Administrator is providing you with this written notification of
investigation of your qualifications for an airman certificate and/or rating, or flight instructor
recency:
• The nature of the Administrator’s investigation, which is precipitated by your submission of

this application, is to determine whether you meet the qualifications for the airman certificate
and/or rating you are applying, or flight instructor recency information you are submitting, as
applicable, under Title 14, Code of Federal Regulations (CFR) part 61.

• Any response to an inquiry by a representative of the Administrator by you in connection with

this investigation of your qualifications for an airman certificate and/or rating, or flight
instructor recency may be used as evidence against you.

• A copy of your airman application file for this date is available to you upon your written

request addressed to:

Federal Aviation Administration

Airmen Certification Branch, AFB-720

P.O. Box 25082
Oklahoma City, OK 73125-0082

(If you make a written request for your airman application file, please provide your full
name, date of birth or airman certification number for identification purposes, and the date
of application.)

FAA Form 8710-11 (03/25) Supersedes Previous Edition

ii

U.S. Department of Transportation
Federal Aviation Administration

CERTIFICATE AND/OR RATING APPLICATION – SPORT PILOT
INSTRUCTIONS FOR COMPLETING FAA FORM 8710-11

I. APPLICATION INFORMATION. Mark “X” in all appropriate blocks(s).

Block T. Name of Medical Examiner. Enter the medical examiner’s name
as shown on your medical certificate. If you are operating under BasicMed, leave
blank.

Please enter all dates in eight digits as MM/DD/YYYY.
Use numeric characters, (e.g., 01/01/2023)

Block U. Driver’s License. Indicate whether you hold a U.S. driver’s license by

Block A. Name. Enter full legal name (Last, First, Middle). If your full legal name is more

marking yes or no. If you answer yes, complete boxes V, W, X and Y.

than 50 characters, use no more than one middle name for record purposes. Do not change the
name on subsequent applications unless it is done in accordance with 14 CFR part 61.25. If
you do not have a middle name, enter “NMN.” If you have a middle initial only, indicate
“Initial only.” Indicate if you are a Jr., II, or III.

Block V. License number. Enter your complete driver’s license number.
Verify that the numbers are not transposed.
Block W. State of Issuance. Enter the name of the state that issued your

Block B. Social Security Number. Enter either your 9-digit social security

driver’s license.

number, “Do Not Use” or “None” if you are not a U.S. citizen. If entering a social
security number, only enter a 9-digit U.S. social security number (optional). See
supplemental Privacy Act Information.

Block X. Date Issued. Enter the date your driver’s license was issued,
using the following format: MM/DD/YYYY.

Block C. Date of Birth. Enter your date of birth in the following format:

Block Y. Expiration Date. Enter the date on which your driver’s license
will expire, or has expired, using the following format: MM/DD/YYYY.

MM/DD/YYYY. Check for accuracy. Verify that DOB is the same as it is on the
medical certificate.

Block Za. Narcotics Drugs. Mark appropriate block. Only mark “Yes” if
you have actually been convicted. If you have been charged with a violation
which has not been adjudicated, mark “No.” Do not include motor vehicle
actions already reported in accordance with as defined in 14 CFR §61.15(c).

Block D. Place of Birth. If you were born in the USA, enter the city and state where you
were born. If the city is unknown, enter the county and state. If you were born outside the
USA, enter the name of the city and country where you were born.

Block E. Residential Address. Enter your complete residential address. This must

Block Zb. Date of Final Conviction. If block “Za” was marked “Yes”

include street number, city, state, and zip code. If the applicant has a foreign address,
the country must be stated. If a residential address does not exist, a map or written
directions to the applicant’s physical residence must be attached to the application.
Verify that the numbers are not transposed.

provide the date of final conviction.

II. Certificate, Privilege or Rating Applied For on Basis of: Block A.
Completion of Required Test.

Block F. Citizenship. Mark USA if you are a U.S. Citizen or legally naturalized

1. Aircraft to be used. (If flight test required) – Enter the make and model of each

U.S. Citizen. If you are not a U.S. citizen, mark “Other” and enter the country where you are
a legal citizen. To claim Dual Citizenship the applicant must present appropriate
documentation of citizenship for each country.

aircraft used or represented. If a flight simulation training device
(FSTD) is used, indicate Level of Device(s).
2. Total time in this aircraft and/or approved full flight simulator (FFS) or
flight training device (FTD) (Hrs.) – (2a) Enter the total Flight Time (2b) Enter
Pilot-In- Command (PIC) Flight Time.

Block G. Do you read, speak, write and understand the English
language? Mark yes or no. If you answered “No” and it is due to medical reasons,
an operating limitation will be placed on the airman certificate.

Block H. Height. Enter your height in inches. Example: 5’8” would be entered as

Block B. Graduate of an Approved/Accepted Course.
1. Enter the name and location of training center, school or agency. Indicate if

Block I. Weight. Enter your weight in pounds. No fractions, use whole pounds.

1a. Enter the certificate number of the training center, if applicable.
2. Curriculum From Which Graduated. Enter name of curriculum and

68 in. No fractions, use whole inches only.

this was a part 142 training center.

level, category, and/or type rating, as applicable.

Block J. Hair Color. Spell out the color of your hair. Choose from the following: bald,

3. Date. Date of graduation from indicated course.

black, blond, brown, gray, red or white. If you wear a wig or toupee, enter the color of
your hair under the wig or toupee.

Note: Approved course graduate must also complete block A “Completion of
Test or Activity,” if the course is not part of an Air Agency or a part 142
Training Center.

Block K. Eye Color. Spell out the color of your eyes. Choose from the following:
black, blue, brown, gray, green, or hazel.

Block C. Holder of Foreign License.
1. Country that Issued the Foreign Pilot License.
2. Grade Of Foreign Pilot License (i.e. private, commercial, etc).
3. Number. Number which appears on the foreign license.
4. Ratings. Enter the FAA equivalent only ratings that appear on the foreign

Block L. Sex. Mark either Male or Female as appropriate.
Block M. Do You Hold or Have You Ever Held An FAA Pilot
Certificate including revoked certificates? Mark yes or no. (NOTE: A student
pilot certificate is a pilot certificate.) If. Yes, complete Blocks N, O and P.

license. Indicate the ratings as they will appear on the FAA Certificate (i.e.
ASEL, AMEL, ROTORCRAFT HELICOPTER, CE-500, etc).

Block N. Grade of Certificate. Enter the grade of the FAA pilot certificate you

III. RECORD OF PILOT TIME. At a minimum, the applicant should complete

hold (i.e. Student, Recreational, Private, Commercial, or ATP). DO NOT enter flight
instructor certificate information.

the blocks applicable to the certificate or rating sought; however, it is recommended
that all pilot time be entered. If decimal points are utilized, ensure that they are
legible. Time entered in the “Class Totals” block should reflect time in aircraft class
for the certificate or rating sought with this application. The time entered for an
FFS, FTD, and/or ATD may be credited towards the total time in the category,
class, and instrument time as permitted by the regulations. Add any Flight Engineer
time used for ATP in remarks section.

Block O. Certificate Number. Enter your current FAA certificate number as it
appears on the pilot certificate.

Block P. Date Issued. Enter the date your pilot certificate was last issued.
Block Q. Do You Hold, or Have You Ever Held, a Medical Certificate?

IV. HAVE YOU PREVIOUSLY RECEIVED A NOTICE

Mark applicable boxes. If yes, complete blocks R, S, and T.

OF DISAPPROVAL OR BEEN DENIED FOR ANY
REASON FOR THE CERTIFICATE AND/OR
RATING FOR WHICH YOU ARE APPLYING? Mark

Block R. Class of Medical Certificate. Enter the class as shown on the
medical certificate, (i.e., First, Second, or Third Class). If your most recent
medical certificate which was valid at some point after July 14th, 2006 has
expired and you are operating under BasicMed, enter “BASICMED” in this
field.

“Yes” or “No” as appropriate.

V. APPLICANT’S/INDIVIDUAL'S CERTIFICATION.
A. Signature. Sign your name.
B. Date. The date you signed the application.

Block S. Date Issued. Enter the date your medical certificate was issued. If you
are operating under BasicMed, leave blank.

FAA Form 8710-11 (03/25)

iii

OMB Control Number: 2120-0690
Expiration Date: 12/31/2025

Airman Certificate and/or Rating Application – Sport Pilot

U.S. Department of Transportation
Federal Aviation Administration

I. Application Information
Pilot

Flight Instructor

Student

Reexamination

Sport

Recent Experience

Other

Private

Reinstatement

Proficiency Check

B. SSN (US only)

A. Name (Last, First, Middle)

Airplane

Gyroplane

Airship

Helicopter Simplified
Flight Control

Balloon

Powered Parachute

Glider

Weight Shift Control

Certificate

Reissuance of

Initial

Additional Privilege:
Initial Privilege:

E. Residential Address

C. Date of Birth (MM/DD/YYYY)

G. Do you read, speak,
write & understand the
English language?

Specify

F. Citizenship

(Including City, State, Zip Code, and Country)

D. Place of Birth (City and State) or (City and Country)

USA

Other
I. Weight (pounds)

H. Height (inches)

Yes
No

K. Eye Color L. Sex

J. Hair Color

Male
Female

N. Grade of Certificate

O. Certificate Number

R. Class of Medical Certificate

S. Date Issued

T. Name of Medical Examiner

V. License Number

W. State of Issuance

X. Date Issued

M. Do you hold, or have you ever held an FAA Pilot Certificate including revoked certificates?
(Note: A student pilot certificate is a pilot certificate.)
No
Yes
Yes

Q. Do you hold, or Have You Ever
Held, a Medical Certificate?

P. Date Issued

No
Yes

U. Do you hold a US
Driver’s License?

Y. Expiration Date

No

Za. Have you ever been convicted for violation of any Federal or State statutes relating to narcotic drugs, marijuana, or
depressant or stimulant drugs or substances?

Yes

Zb. Date of Final Conviction

No

II. Certificate, Privilege or Rating Applied For on Basis of:
2a. Total Time in this aircraft SIM/FTD

1. Aircraft to be used (if flight test required)

A. Completion of
Required Test

1)

2)

1)

2)

SIM)

FTD)

2b. Pilot-in-Command
1)
hours
2)
hours

hours
1a. Certification Number

1. Name and Location of Training Agency or Training Center

B. Graduate of
Approved/Accepted
Course

2. Curriculum From Which Graduated

3. Date

1. Country
C. Holder of
Foreign License
Issued By

2. Grade of License

3. Number

4. Ratings

III. Record of Pilot Time (Do not write in the shaded areas)
Total

Instruction
Received

Pilot-InCommand
(PIC)

Solo

PIC

SIC

Cross
Country
Instruction
Received

Cross
Country
PIC

Cross
Country
Solo

PIC

Night
Instrument Instruction
Received

Night
Takeoff
Landings

PIC

SIC

Night
Takeoff
Landing
PIC

Night
PIC

SIC

PIC

Number of

SIC

Airplanes

Flights
Gliders

PIC

Aero-Tows

Ground Powered
Launches Launches

Dual

Lighterthan-Air

PIC

SIC

PIC

SIC

PIC

Gyroplane

SIC

PIC

SIC

Class Totals

Lighterthan-Air

Balloon

Airship

Helicopter
Simplified

Flight Control

Gliders

Lighterthan-Air

Weightshift
Control
Powered
Parachute
IV. Have you previously received a Notice of Disapproval or been denied for any reason for the certificate, rating AND/OR privilege for which you are applying?

Yes

No

V. Applicant’s/Individual’s Certification – I certify that all statements and answers provided by me on this form are complete and true to the best of my knowledge and I agree that they are to be
considered as part of the basis for issuance of any FAA certificate to me or to validate recency. I have received the Pilot’s Bill of Rights Written Notification of Investigation that accompanies this
form. I have also read and understand the Privacy Act Statement that accompanies this form.

Date

Signature of Applicant/Individual

FAA Form 8710-11 (03/25)

1

Instructor’s Recommendation

I have personally instructed the applicant and consider this person ready to take the test.
Date

Instructor’s Signature (Print name & Sign)

Recent Experience End Date

Certificate Number

Air Agency’s Recommendation
This applicant has successfully completed our

Course, and is

recommended for certification, privilege or rating without further

test.

Agency Name and Number

Date

Official’s Signature
Title

Designated Examiner or Airman Certification Representative Report
Student Pilot Certificate Issued (Copy Attached)
I have personally reviewed this applicant’s pilot logbook and/or training record, and certify that the individual meets the
pertinent requirements of 14 CFR part 61 for the pilot certificate, privilege or rating sought.
I have personally reviewed this applicant’s graduation certificate, and found it to be appropriate and in order, and have returned the certificate.
I have personally tested and/or verified this applicant in accordance with pertinent procedures and standards with the result indicated below.
Approved – Temporary Certificate Issued (Original Attached)

Approved – No Temporary Certificate Issued

Disapproved – Disapproval Notice Issued (Original Attached)
Location of Test (Facility, City, State)

Duration of Test
Ground

Type(s) of Aircraft Used

Certificate or Rating for which tested

1)
Date

Simulator/FTD
SIM)
FTD)
Registration Number(s)

2)

Examiner’s Signature (Print Name & Sign)

1)

Certificate Number

1)
2)

Flight

2)
Designation Expires

Designation Number

Proficiency Check – Instructor’s Record
I have successfully reviewed this applicants pilot logbook and/or training record and certify the individual meets the pertinent requirements of 14 CFR part 61 (Subparts
K {61.419} or J{61.321} for the proficiency check sought.
I have personally tested this applicant in accordance with the pertinent procedures and standards of 14 CFR part 61 (Subparts K or J), and find the applicant proficient
in

and

light-sport aircraft.

Proficiency Check:
Date

Satisfactory

Unsatisfactory

Instructor’s Signature (Print Name & Sign)

Certificate Number

Recent Experience End Date:

Aviation Safety Inspector or Technician Report

I have personally tested this applicant in accordance with or have otherwise verified that this applicant complies with pertinent procedures, standards, policies, and or necessary
requirements with the result indicated below.
Approved – Temporary Certificate Issued (Original Attached)
Disapproved – Disapproval Notice Issued (Original Attached)
Proficiency Check:
Satisfactory
Unsatisfactory
Approved – No Temporary Certificate
Location of Test (Facility, City, State)

Duration of Test
Simulator/FTD

Ground

Type(s) of Aircraft Used

Certificate or Rating for which tested

1)

Examiner’s Recommendation
ACCEPTED

Foreign License
Approved Course Graduate
Other Approved FAA Qualification Criteria

REJECTED

Reissue or Exchange of Pilot Certificate

Registration Number(s)
1)
2)

2)

Certificate or Rating Based on:

Student Pilot Certificate Issued

Flight Instructor
Added Rating/Privilege
Initial
Reinstatement
Activity

WINGS

Training Course

Test

Graduation Certificate Number
Certificate Number

Inspector’s Signature (Print Name & Sign)

Attachments:

Form of ID:

Name:

Knowledge Test Report

Number:

Date of Birth:

Expiration Date:

Certificate Number:

Telephone Number:

Email Address:

Notice of Disapproval
Superseded Airman Certificate

Meets Aviation English Language Standard

Does Not Meet Aviation English Language Standard

REMARKS:

FAA Form 8710-11 (03/25)

Duties and Responsibilities
Date
FAA District Office

Applicant’s/Airman’s Information:

Airman’s Identification (ID):

Student Pilot Certificate (Copy)

Temporary Airman Certificate

Recent Experience

Instructor Recency Based on:

Training Course (FIRC) Name
Date

Flight
1)
2)

SIM)
FTD)

2

Referred to FSO for Aviation English Language
Standard Determination

U.S. Department of Transportation
Federal Aviation Administration

Airman Certificate and/or Rating Application – Sport Pilot

Name (Last, First, Middle):

ADDITIONAL ADDRESS INFORMATION

Social Security Number:
Certificate Number:
Date Issued:

Permanent Mailing Address:

Address the applicant requests the certificate to be sent:

Street:

Street:

P.O. Box:

P.O. Box:

City, State, Zip Code:

City, State, Zip Code:

Physical Description as entered:

Comments:

FAA Form 8710-11 (03/25)

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