Form R-391 "Application for Recertification of School Bus Driver Training Instructor" - Connecticut

What Is Form R-391?

This is a legal form that was released by the Connecticut Department of Motor Vehicles - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2014;
  • The latest edition provided by the Connecticut Department of Motor Vehicles;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form R-391 by clicking the link below or browse more documents and templates provided by the Connecticut Department of Motor Vehicles.

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Download Form R-391 "Application for Recertification of School Bus Driver Training Instructor" - Connecticut

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APPLICATION FOR RECERTIFICATION
OF SCHOOL BUS DRIVER TRAINING
STATE OF CONNECTICUT
INSTRUCTOR
DEPARTMENT OF MOTOR VEHICLES
R-391 Rev. 5-2014
DRIVER EDUCATION UNIT
Full name of applicant (Last, First, MI)
Employer
Home Address
Address
City, State, Zip
City, State, Zip
Daytime Phone
E-mail
Phone
Fax
Instructor Number
Choose
Session 1
or
Session 2
Either Session
Connecticut Operator's License Number:
Date of Birth:
Place of Birth:
Classifications and
Class:
A
B
C
D
(City & State)
Public Transportation
Endorsements:
A
V
S
P
F
Endorsements:
Number of Years
Restrictions:
L
K
B M N
(Circle all applicable)
Licensed:
High School Education:
Number of
(School Name and year
Years School
of Graduation)
Bus Driver:
Have you ever been refused a driver's license by
any state? If so, explain.
Has your license or registration ever been
revoked or suspended in any state?
If so, explain.
Have you ever been convicted or fined for a
motor vehicle violation other than parking?
(if yes, give dates and offenses).
Have you ever been convicted of a crime?
Give dates and offenses.
Have you trained drivers during your current
certification year?
Number of drivers trained:
Total Number of Pre-Service Classes you
conducted during the current certification year:
Total number of in-service classes:
Total number of driver evaluations:
(Attach R360)
Certification: I certify under penalty of false statement (CGS §14-110 ref. 53a-157b) that the above information is true
and accurate on the date of this application.
Applicant's Signature
Date
Send Completed Applications and Attachments to:
DMV - Driver Education Unit, 60 State Street, Wethersfield, CT 06161
FOR DMV USE ONLY
Approval granted
Date
Signed
APPLICATION FOR RECERTIFICATION
OF SCHOOL BUS DRIVER TRAINING
STATE OF CONNECTICUT
INSTRUCTOR
DEPARTMENT OF MOTOR VEHICLES
R-391 Rev. 5-2014
DRIVER EDUCATION UNIT
Full name of applicant (Last, First, MI)
Employer
Home Address
Address
City, State, Zip
City, State, Zip
Daytime Phone
E-mail
Phone
Fax
Instructor Number
Choose
Session 1
or
Session 2
Either Session
Connecticut Operator's License Number:
Date of Birth:
Place of Birth:
Classifications and
Class:
A
B
C
D
(City & State)
Public Transportation
Endorsements:
A
V
S
P
F
Endorsements:
Number of Years
Restrictions:
L
K
B M N
(Circle all applicable)
Licensed:
High School Education:
Number of
(School Name and year
Years School
of Graduation)
Bus Driver:
Have you ever been refused a driver's license by
any state? If so, explain.
Has your license or registration ever been
revoked or suspended in any state?
If so, explain.
Have you ever been convicted or fined for a
motor vehicle violation other than parking?
(if yes, give dates and offenses).
Have you ever been convicted of a crime?
Give dates and offenses.
Have you trained drivers during your current
certification year?
Number of drivers trained:
Total Number of Pre-Service Classes you
conducted during the current certification year:
Total number of in-service classes:
Total number of driver evaluations:
(Attach R360)
Certification: I certify under penalty of false statement (CGS §14-110 ref. 53a-157b) that the above information is true
and accurate on the date of this application.
Applicant's Signature
Date
Send Completed Applications and Attachments to:
DMV - Driver Education Unit, 60 State Street, Wethersfield, CT 06161
FOR DMV USE ONLY
Approval granted
Date
Signed