Driving History

Driving History

Any staff member or student who may drive an institution owned or leased vehicle or their personal vehicle on institution business should answer the following questions. 
Answer the Following

(If yes to questions 1-4, please explain at the bottom of this form.)

(If yes to any of these questions, please explain on second page of this form.)

(Briefly describe the accidents at the end of this form.)

I certify that the information provided above is correct. Any discrepancy in the information found through an MVR check should result in the complete suspension of all driving privileges. I further understand that the information will be compared to establish criteria in determining my qualifications to drive on institution business.