Phone: 1 (800) 383-5957
(902) 436-8774
(902) 894-5726
Email:
signup@jvidrivertraining.com
Application Form
Required Fields *
* Course Applying for:
* Full Name:
* Address:
Address 2:
* City:
* Postal Code:
* Province:
* Home Phone:
* Work Phone:
Cell Phone:
Email:
* Date of Birth:
* SIN:
Education
* Highest grade completed.
Grade School:
1.
2.
3.
4.
5.
6.
7.
8.
Where:
High School:
9.
10.
11.
12.
None:
Where:
University:
1.
2.
3.
4.
5.
None:
Where:
Grade 12, or equivalent (GED) education, is mandatory for the school bus training.
Please provide a copy of your Grade 12 Diploma or equivalent GED.
How did you find out about JVI?
T.V.
Radio
Newspaper
Vehicles
Other:
Name, Address, & Phone # of individual who referred you:
Driver Information
* Licence #:
* Class:
* Province:
* Expiry:
* Has your licence been suspended in the past three years?
Yes
No
If yes, explain:
* Have you been in an accident in the past three years?
Yes
No
If yes, explain:
How long have you been licensed?
* Emergency notification: Name:
* Phone:
* Date:
The information you are about to send will be processed over a non-secure server. JVI is committed to protecting your privacy online and safeguarding any information which you provide. We pledge never to sell, distribute, or disclose the information you to provide to us to any third party. Your information is used for the sole purpose of assessing your training application.
I have read and agree to the above privacy statement.
Phone: 1 (800) 383-5957
(902) 436-8774
(902) 894-5726
Email:
signup@jvidrivertraining.com
Copyright © 2009, JVI Provincial Transportation and Safety Academy, All Rights Reserved.
