Application For National Empowerment Fund Form PDF Details

In an initiative to bolster educational accountability and driver safety among students, the Application For National Empowerment Fund form is a pivotal instrument, meticulously designed under the auspices of the Department of Finance and Administration. It embodies a unique blend of educational oversight and legal requirements, as delineated by Act 831/876 of 1991. This comprehensive document serves multiple critical functions: verifying a student's enrollment and academic performance, specifically maintaining at least a "C" average or the successful completion of an Individualized Education Program (IEP); detailing necessary accommodations for the student during the driver's exam; indicating circumstances under which a student's driving license may be suspended due to academic or disciplinary issues; and outlining the process for reinstating a student's driving privileges upon fulfillment of specific criteria. Furthermore, it includes essential data points such as the student's name, date of birth, ethnicity, driving license number when applicable, contact information, and the relevant school district details, ensuring a thorough and efficient review process. The form, which must be completed in blue ink and bear the school district's official seal to ensure its authenticity, highlights the interconnection between educational engagement and responsible driving privileges, particularly for individuals under the age of eighteen or those who have recently graduated. Its expiration policy—thirty days from the date of signature, with an extension through summer vacation if issued at the end of the school year—underscores the document's temporal relevance, emphasizing timeliness and current academic standing in the evaluation process.

QuestionAnswer
Form NameApplication For National Empowerment Fund Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesarkansas department of finance and administration notification driver's attendance form for students, arkansas form attendance, student attendance software, department of finance administration driver s attendance form

Form Preview Example

DEPARTMENT OF FINANCE AND ADMINISTRATION

NOTIFICATION FORM

DRIVER'S LICENSE- ATTENDANCE POLICIES

Pursuant to the requirements of Act 831/876 of 1991

1.It is verified that the following student is properly enrolled and is maintaining a "C" average for the previous semester, or successfully completing an I.E.P. or receiving an exemption.

2.This student will require the following accommodations in regard to the written portion of the driver's exam:

3.The following student is not currently enrolled or has been expelled from school. We are requesting that his/her license be suspended.

4.The following student is currently enrolled in school with regular attendance and is requesting to regain his/her license.

5.

Please check here is the student is under 18 years of age and has graduated.

Name of Student

Date of Birth

 

Ethnicity

 

 

 

Driving License Number (when Applicable

Current Street Address:

Zip Code:

Phone

 

Sex

Student ID #

City:

 

State:

 

 

 

NAME OF SCHOOL DISTRICT: Berryville Public School District

DISTRICT ADDRESS: 902 W. Trimble Berryville Arkansas 72616

DISTRICT TELEPHONE NUMBER: 870.480.4669

School Official's Name and Title

(SIGNATURE-Blue Ink Only)

Date

Place Raised School District Seal or Official School Signature Stamp Here.

If box 3 or 4 is checked, mail thisform to:

DEPARTMENT OF FINANCE AND ADMINISTRATION

DRIVER CONTROL

P.O. BOX 1272

LITTLE ROCK, AR 72203

ACT 831/876 OF 1991

Do not accept copy, raised seal only.

FORM NUMBER PLD-02-00-001

5113-S-f

This form expires thirty (30) days from the signature, unless this form was issued at the end of the school year (summer vacation) then, this form will be valid for the summer vacation. Please type form or pring legible in blue ink.

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