Drivers Test Request Form
You will receive Permit Form within 24 hrs of request (within school/business hours). This form does not guarantee approval; students must meet State criteria (2.0 GPA will be verified).
Email address
Student School 9 Digit ID#-(found in HAC- # begins with 2)
Your answer
Last Name
Your answer
First Name
Your answer
Phone-(ex: 000-000-0000)
Your answer
Date of Birth- month day year (ex: 00/00/0000)
Your answer
Street Address
Your answer
Zip Code
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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