"Application for Oklahoma State Department of Education (Sde) School Bus Driver Certificate" - Oklahoma

Application for Oklahoma State Department of Education (Sde) School Bus Driver Certificate is a legal document that was released by the Oklahoma State Department of Education - a government authority operating within Oklahoma.

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  • Released on April 1, 2013;
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Download "Application for Oklahoma State Department of Education (Sde) School Bus Driver Certificate" - Oklahoma

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Application for Oklahoma State Department of Education (SDE) School Bus Driver Certificate
The State Board of Education requires this certification for school bus drivers employed by K-12th grade schools.
Oklahoma State Department of Education - 2500 North Lincoln Boulevard - Oklahoma City, Oklahoma 73105-4599
Student Transportation Section (405) 521-3472
http://sde.ok.gov/student-transportation
Employing School Location: County Name _____________________________ District Name __________________________________
ALL INFORMATION IS REQUIRED. Print clearly as the information on this form will be used to print the approved “Pink” Certificate.
Applicant must complete this section. Is the applicant a United States citizen or legally authorized to work in the U.S.? _____Yes / No____
Last Name _________________________________First____________________________________Middle____ Birth Date____________
Residence Address____________________________________City___________________________ _____State_____ Zip _____________
Social Security Number_______________________Female ____ Male____ CDL: Class A___ / B___ / C___ Endorsements P____ / S_____
Commercial Driver License (CDL) Number _____________________ State_________ Expiration Date _____________________________
“I hereby swear that I have not been convicted of a felony in the past ten (10) years, and I understand that any false statements regarding this
matter can result in possible criminal charges, immediate job termination, and the revocation of my school bus driver certificate. In addition,
I hereby affirm that the information I have provided on this form is true and correct.” (47 O.S. § 15-109)
Signature of Applicant___________________________________________________________ Date _______________________________
An SDE certified School Bus Driver Instructor must complete this section only for first time applicants completing their Oklahoma School
you must include the company’s Certificate of Completion with this form.
ONLINE Course,
Bus Driver Course. If this is for an
Name of Instructor (PRINT) _____________________________ Phone Number of Instructor _____________________________________
Instructor Certificate #__________________________________ Instructor Email Address _______________________________________
___Classroom Training Dates ____________________________ Year _____________ Location ___________________________________
(Regular Classroom Instruction)
___Online Internet Course Completion Date _____________Course taken through _____OAPT, ____Tech Center
(Which One?) ____________
If an Online Course, provide On-the-Road Training Dates: ____________________ Total Driving Time / Hours: ______________________
Signature of Instructor (Classroom or Online Course) ______________________________________________ Date _________________
“I hereby certify the above training information is true and correct for this applicant.” (47 O.S. § 15-109)
Employing School District Administrator must complete the section below. Select only one option for type of certificate being requested:
_____Emergency Certificate (Temporary): Requires a Commercial Driver License Class A, B or C with P and S endorsements; can only be
issued for the current school year and is not renewable. Applicant must meet all applicable state requirements except completion of
Oklahoma School Bus Driver Course. Please include copy of the Commercial Driver’s license (CDL) for emergency certificates.
_____Standard Certificate (5 year): Requires a CDL Class A, B or C with P and S endorsements; completion of the Oklahoma School Bus
Driver Course as verified by an Instructor on this form; and must meet all other applicable state requirements.
_____“Renewal” of an Oklahoma Standard Certificate: Requires minimum of 4 hours of annual in-service per year as verified below.
Yes___ or No___ A. Has applicant’s School Bus Driver Certification been expired for more than one year?
Yes___ or No___ B. Has this applicant completed 4 hours of school bus driver in-service per year from subjects approved by the SDE?
Yes___ or No___ C. Is this applicant’s documentation for in-service attendance on file with this employing school district?
By signature below, the employing school district administrator verifies that this applicant:
1. Has a current Driving Record Report on file that meets all State Board of Education regulations.
In the past three (3) years, has no driving under the influence (DUI) conviction and not more than three (3) traffic violations.
2. Has not been convicted of a felony in the past ten (10) years and verification report is on file with the employer.
3. Has either a current annual SDE Health Certificate, or a biannual Department of Transportation “DOT Physical” on file.
4. Has completed drug and alcohol testing in compliance with CFR 49 part 40.
“I hereby certify the above information is true and documentation is available at the employing school district.” (47 O.S. § 15-109)
Signature of School Administrator Employer ____________________________________Title ____________________Date ____________
Email Address of Transportation Supervisor _____________________________________________________________________________
School Employer’s Phone No. ( _________ ) ______________________________ County No. ______ School District No. _____________
Please submit this completed application form to the Oklahoma State Department of Education. Keep a copy of this application on
file for at your school for your records, Regional Accreditation Officer and/or Audit Visits. This form updated April 2013.
Application for Oklahoma State Department of Education (SDE) School Bus Driver Certificate
The State Board of Education requires this certification for school bus drivers employed by K-12th grade schools.
Oklahoma State Department of Education - 2500 North Lincoln Boulevard - Oklahoma City, Oklahoma 73105-4599
Student Transportation Section (405) 521-3472
http://sde.ok.gov/student-transportation
Employing School Location: County Name _____________________________ District Name __________________________________
ALL INFORMATION IS REQUIRED. Print clearly as the information on this form will be used to print the approved “Pink” Certificate.
Applicant must complete this section. Is the applicant a United States citizen or legally authorized to work in the U.S.? _____Yes / No____
Last Name _________________________________First____________________________________Middle____ Birth Date____________
Residence Address____________________________________City___________________________ _____State_____ Zip _____________
Social Security Number_______________________Female ____ Male____ CDL: Class A___ / B___ / C___ Endorsements P____ / S_____
Commercial Driver License (CDL) Number _____________________ State_________ Expiration Date _____________________________
“I hereby swear that I have not been convicted of a felony in the past ten (10) years, and I understand that any false statements regarding this
matter can result in possible criminal charges, immediate job termination, and the revocation of my school bus driver certificate. In addition,
I hereby affirm that the information I have provided on this form is true and correct.” (47 O.S. § 15-109)
Signature of Applicant___________________________________________________________ Date _______________________________
An SDE certified School Bus Driver Instructor must complete this section only for first time applicants completing their Oklahoma School
you must include the company’s Certificate of Completion with this form.
ONLINE Course,
Bus Driver Course. If this is for an
Name of Instructor (PRINT) _____________________________ Phone Number of Instructor _____________________________________
Instructor Certificate #__________________________________ Instructor Email Address _______________________________________
___Classroom Training Dates ____________________________ Year _____________ Location ___________________________________
(Regular Classroom Instruction)
___Online Internet Course Completion Date _____________Course taken through _____OAPT, ____Tech Center
(Which One?) ____________
If an Online Course, provide On-the-Road Training Dates: ____________________ Total Driving Time / Hours: ______________________
Signature of Instructor (Classroom or Online Course) ______________________________________________ Date _________________
“I hereby certify the above training information is true and correct for this applicant.” (47 O.S. § 15-109)
Employing School District Administrator must complete the section below. Select only one option for type of certificate being requested:
_____Emergency Certificate (Temporary): Requires a Commercial Driver License Class A, B or C with P and S endorsements; can only be
issued for the current school year and is not renewable. Applicant must meet all applicable state requirements except completion of
Oklahoma School Bus Driver Course. Please include copy of the Commercial Driver’s license (CDL) for emergency certificates.
_____Standard Certificate (5 year): Requires a CDL Class A, B or C with P and S endorsements; completion of the Oklahoma School Bus
Driver Course as verified by an Instructor on this form; and must meet all other applicable state requirements.
_____“Renewal” of an Oklahoma Standard Certificate: Requires minimum of 4 hours of annual in-service per year as verified below.
Yes___ or No___ A. Has applicant’s School Bus Driver Certification been expired for more than one year?
Yes___ or No___ B. Has this applicant completed 4 hours of school bus driver in-service per year from subjects approved by the SDE?
Yes___ or No___ C. Is this applicant’s documentation for in-service attendance on file with this employing school district?
By signature below, the employing school district administrator verifies that this applicant:
1. Has a current Driving Record Report on file that meets all State Board of Education regulations.
In the past three (3) years, has no driving under the influence (DUI) conviction and not more than three (3) traffic violations.
2. Has not been convicted of a felony in the past ten (10) years and verification report is on file with the employer.
3. Has either a current annual SDE Health Certificate, or a biannual Department of Transportation “DOT Physical” on file.
4. Has completed drug and alcohol testing in compliance with CFR 49 part 40.
“I hereby certify the above information is true and documentation is available at the employing school district.” (47 O.S. § 15-109)
Signature of School Administrator Employer ____________________________________Title ____________________Date ____________
Email Address of Transportation Supervisor _____________________________________________________________________________
School Employer’s Phone No. ( _________ ) ______________________________ County No. ______ School District No. _____________
Please submit this completed application form to the Oklahoma State Department of Education. Keep a copy of this application on
file for at your school for your records, Regional Accreditation Officer and/or Audit Visits. This form updated April 2013.