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 front office during a scheduled appointment.
■Will receive email confirmation once form is complete.
*If your birthday is in the summer, please request this form during the last week of school.
* Required
Email address
*
Your email
Contact Email
*
Your answer
Student's Last Name
*
Your answer
Student's First Name
*
Your answer
Student's Date of Birth
*
MM
/
DD
/
YYYY
Parent/Guardian's First and Last Name
*
Your answer
Pick up Date (Please no same day request)
*
MM
/
DD
/
YYYY
Pick up Time (9-3 p.m.)
*
Time
:
AM
PM
A copy of your responses will be emailed to the address you provided.
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