Qualification Application
The following questionsrelate to the Federal Department of Transportation’s required physical examination.
DRIVING RECORD/BACKGROUND RECORDS
List all Convictions, Accidents, Citations and forfeitures for the past 5 years
I understand that in completing this evaluation, the school is under no obligation to accept me, nor am I under no obligation to the school. It is agreed and
understood that the answers to the foregoing questions have been supplied by me and are true to the best of my knowledge, and that any misrepresentation of
information given above shall be considered an act of dishonesty.