Sf1010 School Form – Fill Out and Use

APPLICATION FOR FORM SF 1010

Certification of Compulsory School

Attendance

A FORM SF 1010 is for students wishing to obtain their Tennessee Learner’s Permit. Students who already have a valid Tennessee Learner’s Permit and wish to obtain a Tennessee Driver’s License do not need a FORM SF 1010.

In order to qualify for a FORM SF 1010 a student must be in compliance with the State of Tennessee Compulsary Attendance Laws and earn a minimum of two credits during the preceeding term. Students who have fifteen or more unexcused absences in a term or ten consecutive unexcused absences do not qualify for a Tennessee Learner’s Permit.

Complete this application and deliver it to Mrs. Key in the Attendance Office at Powell High School. You may pick-up your FORM SF 1010 five school days from the day your form is received by Mrs. Key.

After PHS has processed a student’s application the student has a period of thirty days to obtain the Tennessee Learner’s Permit. If the thirty day period lapses and no Tennessee Learner’s Permit is obtained and an additional FORM SF 1010 is requested a $2.00 fee will be assessed.

PLEASE PRINT CLEARLY

Full Legal Name

First

Middle

Last

Age

Date of Birth

Race

Gender

Social Security Number

Phone Number

Street Address

City

State

Zip Code

Parent / Legal Guardian Full Legal Name

First

Middle

Last

Relationship to Applicant

If applicant has had a previous Learner’s Permit or Driver’s License revoked or has a license from another state, the following information must be provided.

License NumberState

I have read the information on this form and understand the requirements for obtaining a FORM SF 1010.

Student Signature		Date		Grade

You may now log-on to www.tennessee.gov to schedule an appointment for your Tennessee Driver’s License.

No appointment is needed to obtain a Learner’s Permit.