Form Approved. OMB No. 2120-0040 01/31/2008 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 American LegalNet, Inc. www.FormsWorkflow.com 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''. 1. NAME OF SCHOOL 3. TYPE OF INSPECTION AND DATE 2. CERTIFICATE NO. 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) A&P POWERPLANT (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 American LegalNet, Inc. www.FormsWorkflow.com Paperwork Reduction Act Statement:The information collected on this form is necessary to ensure that Aviation Maintenance Technician Schools meet the minimum requirements for the procedures and curriculum set forth by the FAA in FAR Part 147. The information will be used to determine applicant eligibility and compliance. Then all requirements have been met, an aviation maintenance technician school certificate with appropriate ratings is issued. It is estimated that it will take each applicant between 40 and 80 hours to complete this form and provide all the information called for. information is required to obtain a certificate. There is no confidentiality provided. Not that an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The control number for this collection is 2120-0040. Comments concerning the accuracy of this burden and suggestions for reducing the burden should be directed to the FAA at: 800 Independence Ave SW, Washington, DC 20591, Attn: Information Collection Clearance Officer, ABA-20 American LegalNet, Inc. www.FormsWorkflow.com