Driver Application and AgreementDriver Application and Agreement • October 4th, 2017
Contract Type FiledOctober 4th, 2017Have you had a valid driver’s license for the last two consecutive years? Y N Has your license ever been suspended or revoked? Y N If yes, why? Have you been previously certified to drive Luther’s 12-passenger vans? Y N Do you have experience driving in snow and icy conditions? Y N If yes, how many years? Do you have a medical condition or are you taking any medications that would impair driving? Y N Do you have personal auto insurance? Y N If so, are you classified as a high-risk driver? Y N Please explain: Do you have personal medical insurance? Y N If yes, provide proof of medical insurance (students, spouses and non-staff only). Renewals Only: Have you had any traffic violations or accidents in the last year? Y N (ie. speeding ticket, OWI charges, etc.) If yes, explain: