We are so thankful that you have decided to serve our Lord through driving our people. We appreciate the fact that many of you have taken off work and are giving your time to be a blessing. Your job on this trip is the most important responsibility. It is the goal of our church to create a safe and secure environment for all members and visitors. To facilitate this goal, it is necessary to gather pertinent information from those who desire employment or offer volunteer services through our transportation ministry. This information will be used for the sole purpose of helping select drivers and provide a safe and secure environment.
All drivers must be between the ages of 21 and 65. *
SECTION 1: Driver Information
Name (as it appears on your driver's license) *
Name (as it appears on your driver's license)
Address *
Address
Daytime Phone:
Daytime Phone:
Cell Phone:
Cell Phone:
Commercial Driver's License (CDL)? *
SECTION 2: Driving Record
Have you been in an accident and/or have you received a traffic citation for moving violations within the last three years? If yes, please complete details below. *
Have you ever been convicted of a DWI/DUI, had your driver’s license suspended or revoked for moving violations, been for leaving the scene of an accident (“hit and run”), eluding an officer, reckless or negligent operation of a vehicle? If yes, complete details below. *
Date
Date
Date 2
Date 2
Date 3
Date 3
SECTION 3 – Requirements for Drivers
I certify, that, as of this date of this Application (check):
I agree, and will remember the following (please check all that apply):
SECTION 4 – Declaration and Signature
I have personally answered the questions on this application, and I affirm that the answers provided are true and correct as of the date written adjacent to my signature. My signature on this application constitutes my authorization for the church to perform a criminal background and/or driver’s history investigation.
Date of Signature:
Date of Signature:
SECTION 5: Church Approval
Date of Signature
Date of Signature
We need a copy of your driver's license, use the link below to upload your copy:
Click HERE to print this form for your actual signature: