"Driving School Instructor License Application Form" - City of Vaughan, Ontario, Canada

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DRIVING SCHOOL INSTRUCTOR
LICENSE APPLICATION FORM
Instructor with Vehicle
Instructor
LICENSING REQUIREMENTS:
INSTRUCTOR WITH VEHICLE:
Completed application form
Applicable fee
Business registration papers (if applicable)
Safety standards certificate
Proof of insurance
Vehicle ownership
Valid Ontario Class “G” driver’s license
Driver’s Abstract
Police Clearance Letter
Proof of being at least 18 years of age
Valid Ontario Driving Instructor’s license
Proof of being eligible to gain employment in Canada
INSTRUCTOR:
Completed application form
Applicable fee
Valid Ontario Class “G” driver’s license
Valid Ontario Driving Instructor’s license
Police Clearance Letter
Driver’s Abstract
Proof of being at least 18 years of age
Proof of being eligible to gain employment in Canada
_________________________________________________________________________________________________
Corporation Name (only if licensee is a corporation): ______________________________________________________
Applicant’s Name: (SURNAME) ________________________________ (GIVEN) _______________________________
Address: ________________________________________________________________________________________
(CITY) ___________________________(PROV) __________________ (POSTAL CODE)________________________
Phone Number: (HOME) _____________________________________ (CELL) ________________________________
Email Address:____________________________________________________________________________________
Driver’s License No. ___________________________________________________________
(PROV)____________
Date of Birth: ________________________ Place of Birth:_________________________________________________
Month / Day / Year
City/Town
Prov/State
Country
Documents submitted if Place of Birth is outside Canada:
LANDED STATUS DOCUMENTS
CITIZENSHIP DOCUMENTS
WORK PERMIT
Name of the Driving School that you will be operating from: ____________________________________________
Driving School Phone No.: ______________________________________________________________________
Form Feb 1/09
DRIVING SCHOOL INSTRUCTOR
LICENSE APPLICATION FORM
Instructor with Vehicle
Instructor
LICENSING REQUIREMENTS:
INSTRUCTOR WITH VEHICLE:
Completed application form
Applicable fee
Business registration papers (if applicable)
Safety standards certificate
Proof of insurance
Vehicle ownership
Valid Ontario Class “G” driver’s license
Driver’s Abstract
Police Clearance Letter
Proof of being at least 18 years of age
Valid Ontario Driving Instructor’s license
Proof of being eligible to gain employment in Canada
INSTRUCTOR:
Completed application form
Applicable fee
Valid Ontario Class “G” driver’s license
Valid Ontario Driving Instructor’s license
Police Clearance Letter
Driver’s Abstract
Proof of being at least 18 years of age
Proof of being eligible to gain employment in Canada
_________________________________________________________________________________________________
Corporation Name (only if licensee is a corporation): ______________________________________________________
Applicant’s Name: (SURNAME) ________________________________ (GIVEN) _______________________________
Address: ________________________________________________________________________________________
(CITY) ___________________________(PROV) __________________ (POSTAL CODE)________________________
Phone Number: (HOME) _____________________________________ (CELL) ________________________________
Email Address:____________________________________________________________________________________
Driver’s License No. ___________________________________________________________
(PROV)____________
Date of Birth: ________________________ Place of Birth:_________________________________________________
Month / Day / Year
City/Town
Prov/State
Country
Documents submitted if Place of Birth is outside Canada:
LANDED STATUS DOCUMENTS
CITIZENSHIP DOCUMENTS
WORK PERMIT
Name of the Driving School that you will be operating from: ____________________________________________
Driving School Phone No.: ______________________________________________________________________
Form Feb 1/09
VEHICLE INFORMATION
TO BE COMPLETED BY INSTRUCTOR WITH VEHICLE ONLY:
Make: ______________________________
Model: _______________________ Year: ____________________
V.I.N.: _________________________________________________ Provincial Plate No.: _____________________
*** READ CAREFULLY BEFORE SIGNING THIS APPLICATION ***
This application may contain personal information as defined under the Municipal Freedom of Information and Protection
of Privacy Act. The information collected is required pursuant to the terms of the Municipal Act and will be used by the City
of Vaughan to process the application, and to determine whether to issue a license. Information will also be used for
administration of such license, and for law enforcement purposes to ensure compliance wilth all applicable statutes,
regulations and by-laws.
Questions relating to the collection of this information should be directed to the Licensing Officer, 2141 Major Mackenzie
Drive, Vaughan, Ontario, L6A 1T1, (905) 832-8504.
By signing this application the Applicant agrees that all information provided is true. The Applicant further agrees that any
false information may result in a revocation of any license that may be issued.
Signature of New Applicant: ___________________________________ Date:_____________________________
By signing the renewal portion this application below the Applicant agrees that all information provided is true. The
Applicant further agrees that any false information may result in a revocation of any license that may be issued
Renewal Signature of Applicant: ________________________________ Date: ____________________________
Renewal Signature of Applicant: ________________________________ Date: ____________________________
Renewal Signature of Applicant: ________________________________ Date: ____________________________
Renewal Signature of Applicant: ________________________________ Date: ____________________________
OFFICE USE ONLY
License Number:_____________ Accepted By:__________________
Date of Issue:__________________________
Comments:________________________________________________________________________________________
_________________________________________________________________________________________________
________________________________________________________________________________________________
Renewal Number:____________ Accepted By:__________________
Date of Issue:__________________________
Comments:________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Renewal Number:____________ Accepted By:__________________
Date of Issue:__________________________
Comments:________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Renewal Number:____________ Accepted By:__________________
Date of Issue:__________________________
Comments:________________________________________________________________________________________
Form Feb 1/09
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