Volunteer Driver Form
Covenant Christian High School often needs help in transporting students on field trips or for sports events. Our school parents have been generous in their assistance. This purpose of this form is to reduce the liability of the school and volunteer drivers by being proactive in our selection of parent drivers. If you are interested in helping with such needs during the school year, please fill out this form.

Please note: Anyone volunteering to drive for one of our school functions, will have a driving report run as part of the background report (approval) process.

A new Volunteer Driver Form should be completed each school year.
Legal First Name: *
Your answer
Legal Last Name: *
Your answer
Email: *
Your answer
Driver's License Number: *
Your answer
Driver's License State: *
Your answer
Driver's License Expiration: *
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Are you licensed to drive a commercial vehicle? *
Have you been in an accident in the last three years? *
If yes, please explain:
Your answer
Have you been ticketed for a moving violation within the last three years? *
If yes, please explain:
Your answer
Have you ever been convicted for DWI/DUI of alcohol or drugs, or had your license suspended for moving violations, hit and run, eluding an officer, reckless or negligent operation of a vehicle, or driving while under suspension or revocation? *
If yes, please explain:
Your answer
Car #1 - Automobile & Insurance Information
CCHS requires volunteer drivers to have the following minimum amount of liability insurance: (1) $100,000 liability per person for bodily injury; (2) $300,000 liability per incident for bodily injury for all vehicle occupants; (3) $100,000 liability for property damage.
Make/Model/Year: *
Your answer
Number of Seat Belts: *
Your answer
License Plate Number: *
Your answer
Insurance Policy Provider: *
Your answer
Insurance Policy Number: *
Your answer
Do you have uninsured/underinsured motorist coverage? *
Car #2 - Automobile & Insurance Information
CCHS requires volunteer drivers to have the following minimum amount of liability insurance: (1) $100,000 liability per person for bodily injury; (2) $300,000 liability per incident for bodily injury for all vehicle occupants; (3) $100,000 liability for property damage.
Make/Model/Year:
Your answer
Number of Seat Belts:
Your answer
License Plate Number:
Your answer
License Plate Number:
Your answer
Insurance Policy Provider:
Your answer
Insurance Policy Number:
Your answer
Do you have uninsured/underinsured motorist coverage?
Requirements, Declaration and Digital Signature
I certify that:
• I possess a valid driver’s license.
• I will contact my insurance agent to ascertain if there are any liability policy limits or exclusions regarding transporting other students or faculty members on a field trip that might affect my ability to meet the qualifications for a volunteer driver
• I will maintain minimum insurance coverages required by CCHS for volunteer vehicles, and will volunteer to drive only when such policies and coverages are in force.
• I understand that in case of any type of accident, injury, or vehicle damage, the liability insurance policy of CCHS does not provide primary or direct insurance on my vehicle. The School’s insurance will take effect only after my personal auto insurance limits are exhausted.
• I will advise CCHS of any change in information provided on this form.
• Students riding in my vehicle(s) will be seated and in both the front and back seat will be secured with individual working seatbelts.
• To my knowledge, my vehicle is in safe operating condition.

By typing in my name and the date as a digital signature, I affirm that I will carefully transport students under my care, including obeying all traffic laws. The information given on this form is true and correct to the best of my knowledge.
Digital Signature: *
Your answer
Date: *
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Additional Requirements
* Important Note: We also need a copy of your driver's license and car insurance card. Please email to: vickitowles@covenantchristian.org or bring into our front office.
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