Driver Application

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

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: