Driver Application Step 1 Step 2 Step 3 STEP 4 STEP 5 DRIVER’S APPLICATION DATE OF APPLICATION: DATE OF AVAILABILITY: Name & Address NAME MAILING ADDRESS: HOME TELEPHONE (Include area code): CITY PROVINCE POSTAL CODE CELL PHONE EMAIL ADDRESS SOCIAL INSURANCE NUMBER: WORK TELEPHONE (Optional): PREVIOUS ADDRESSES - Most recent address at top – 4 years history required. ADDRESS CITY PROVINCE POSTAL CODE FROM TO DRIVER’S LICENSE INFORMATION - All licenses held, last 4 years: PROVINCE DRIVER’S LICENSE NUMBER LICENSE CLASS EXPIRY DATE PLEASE COMPLETE THE FOLLOWING SECTION; IF YOU GRADUATED FROM DRIVING SCHOOL WITHIN THE LAST 2 YEARS AGO OR LESS DATE RECEIVED LICENSE / CLASS NAME OF SCHOOL SCHOOL LOCATION CONTACT NAME: SCHOOL PHONE NUMBER:
