Temps Application Request
Student First Name
Full Legal First Name
Student Last Name
Full Legal Last Name
What High School do you attend?
What is your birth date?
What is a good Cell Phone number to text you if there is a problem with your request?
If you are a KC's Online Classroom Student, did you enroll and pay for our Behind The Wheel Course?
No - STOP! You MUST do that first before we can mail your Temps App
Yes, I took KC's Traditional Classroom and enrolled in BTW on the first day of my group session.
What is the address you want us to mail the form to?
Enter your FULL address. Example: 123 Maple St, Hartland, WI 53029
What is the reason you need to get the Form
Original Instruction Permit Applicaiton
Replacement Permit Application (I lost my permit)
I need to renew my Instruction Permit
My form has an expired signature
Where did you take Driver's Ed Classroom?
KC's Online Classroom
Waukesha North High School
Pewaukee High School
KC's Watertown or Lake Mills
Online at a different driving school
Where will you do your Behind The Wheel Training?
KC's Watertown or Lake Mills - You need to contact them @ 920-261-1750 to enroll in their BTW Program and to obtain your Instruction Permit Application MV3001
Online at a different driving school - You will need to contact them to enroll in their BTW Program and to obtain your Instruction Permit Application MV3001
Please complete the captcha before submitting the form.
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