N________ Pilot  _________ Date____________ 

Type  _________ CFI  _______________________ 

Start  _________ End  _________ 

Actual  _________ Total  _________ 

T.O. Time  _________ From  _________ 

Arrival Time  _________ To  _________ 

Preflight Discussion 

Vx  _________ Vy  _________  Vglide_________

Flight Plan, Clearances  _________ ASOS  _________ 

Holding 

Intersection   _________ VOR  _________ 

NDB  ________ LOC  ________  DME  ________ 

Approach Procedures: 

  _________ GPS  _________ GPS

  _________ VOR  _________ NDB 

  _________ ILS  _________ LOC 

  _________ DME  _________ NO-GYRO 

  _________ Missed Approach  _________ Circling 1 

  _________ Missed Approach  _________ Circling 2 

  _________ Back Course  _________ Alternate 

  _________ Landing From A Straight-In Approach 

  _________ Landing From a Circling Approach 

  _________ No-Gyro Vectoring

  _________ No-Gyro Approach 

  _________ Recovery From Unusual Flight Attitudes 

  _________ Loss of Communications

  _________ Aircraft Systems

  _________ Aircraft Instruments 

  _________ Attitude Instrument Flying

  _________ Timed Turns