Driver's School Compliance Verification Request -Lafayette High School
■Please complete form entirely.
■Student must be 16 years old before completing the form.
■The Driver's form expires in 60 days once signed.
■Approval for the form requires the student having less than 9 unexcused absences and has passed 6 of 8 courses in the proceeding semester.
■Available for pick-up in the counseling office during a scheduled appointment.
■Will receive email confirmation once form is complete.
■This form is not needed if permit has already been earned.

*If your birthday is in the summer, please request this form from May 24 - June 4th.
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Email *
Contact Email *
Student's Last Name *
Student's First Name *
Student's Date of Birth *
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Parent/Guardian's First and Last Name *
Pick up Date (Please no same day request) *
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Pick up Time (9-3 p.m.) *
Time
:
A copy of your responses will be emailed to the address you provided.
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