Silverdale Volunteer Driver Form
We often need help in transporting students on field trips or for sports events. Our school parents have been generous in their assistance. The 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 and return it (along with copies of your driver’s license and your current vehicle insurance card) to the school. A new Volunteer Driver Application Form must be filled out each school year.
Driver Information
Which school are you requesting permission to drive for? *
Required
Driver Name *
Student Name *
Home Phone
Work Phone
Cell Phone *
Street Address *
City *
State *
ZIP *
Primary Insurance *
Primary Insurance Policy # *
Secondary Insurance
Secondary Insurance Policy #
I possess a valid driver's license from the state of: *
Driver License # *
Driver License Expiration Date *
MM
/
DD
/
YYYY
Have you been in an accident in the last three years? If you have, please describe the accident(s) here. *
Have you received a moving citation within the last three years? If you have, please describe the infraction here and send a copy of the court disposition to your school's administrative assistant. *
Have you been convicted for DWI/DUI of alcohol or drugs, or had your license suspended or revoked for moving violations, DWI/DUI, hit and run, eluding an officer, reckless or negligent operation of a vehicle, or driving while under suspension or revocation in the last 3 years? *
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