Proof of Enrollment Application
Requirements: School attendance, behavior, and satisfactory academic progress are conditions of licensing for the operation of motor vehicles.
Please allow up to 1 week to process requests.
* Required
Email address
*
Your email
Full Name, as it is listed on your Birth Certificate(First, Middle, Last Name, Suffix if needed)
*
Your answer
Have you previously completed an application?
*
Yes
No
Date of Birth
*
MM
/
DD
/
YYYY
Complete Physical Mailing Address, No P.O. Boxes.
*
Your answer
Mailing Address(if different that physical address).
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
Your answer
WVEIS #( e.g. 5600XXXX)
*
Your answer
Please note that all completed Proof of Enrollments will be mailed home to the mailing address you listed above.
A copy of your responses will be emailed to the address you provided.
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