Stepinac Drivers Form PDF Details

At Archbishop Stepinac High School, located at 950 Mamaroneck Avenue in White Plains, NY, a comprehensive Driver Education Program is offered to high-school students, presenting a significant opportunity to learn driving with great benefits. Open to students from Scarsdale High and others, the program, slated to start this fall, combines both practical driving experience and classroom lectures, designed to ensure students not only become safe drivers but also stand a chance to receive insurance discounts and qualify for their senior license at 17, a year earlier than the standard. The New York State approved curriculum is meticulously structured, requiring students to be at least 16 by October 1, 2011, to participate. With an early registration, students can secure their preferred schedule among the offered slots. The program spans 16 weeks, featuring 90 minutes of driving and 90 minutes of lecture each week, aiming at a comprehensive education that spans practical driving skills and theoretical knowledge necessary for safe driving practices. Orientation is key for enrollment and course specifics, set for September 27 at 3:00 pm. Financial commitments and required documentation are streamlined, with explicit details provided for ensuring a smooth registration process, marking a pivotal step towards fostering responsible young drivers.

QuestionAnswer
Form NameStepinac Drivers Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesstepinac drivers ed spring 2020, 2011, 1st, stepinac drivers ed

Form Preview Example

Driver Education

Offered at Archbishop Stepinac High

950 Mamaroneck Ave., White Plains, NY 10605

Fall Program

OPEN TO

 

Great Choices!

SCARSDALE

HIGH

Saturday Driving & Lecture or

SCHOOL

 

Weekday After-School Classes

STUDENTS

 

Insurance Discount*

Senior License at 17

Become a Safe Driver

N.Y.S. Approved Program

*check with your insurance company

Orientation for the Fall Program: September 27, 2011

at 3:00pm in the Cafeteria

Student Must Be At Least 16 Years Old By October 1, 2011

Early Registration Means Best Choice of Times

Application Available on Archbishop Stepinac Website

ARCHBISHOP STEPINAC HIGH SCHOOL DRIVER EDUCATION PROGRAM

APPLICATION/CONSENT SLIP

950 Mamaroneck Avenue, White Plains, NY 10605 (914) 946-4800

Today’s Date:________________

Student’s Name, Address, Date of Birth and Permit/License # MUST BE EXACTLY as on

the permit/ license otherwise the DMV will NOT Convert Junior-to-Senior License.

 

 

 

 

Male ( )

Female ( )

__________________________________________________________

___________________________

Last

First

Middle

Date of Birth

__________________________________________________________

_____________ / _______________

Number

Street

 

Home Phone

Student Cell Phone

__________________________________________________________

___________________________

City

State

Zip Code

E-Mail Address

 

 

 

PERMIT/LICENSE NUMBER

: _____________________________

________________________________

 

 

(Required by October 1, 2011)

Name of Full-Time High School

The program consists of 90 minutes of driving and 90 minutes of lecture class each week for 16 weeks.

Driving Time: Please indicate your top 3 driving preference days by placing a 1, 2 & 3 in the boxes below. Next to the number, indicate the earliest time you can start driving. Please be aware that student registration priority and teacher availability may limit some choices.

(

)

Monday ____________

(

)

Tuesday ____________

(

)

Wednesday __________

(

)

Thursday ___________

(

)

Friday ____________

(

)

Saturday __________

Lecture Class: You will be assigned to a class (day/time determined by space and teacher availability).

PARENT/GUARDIAN INFORMATION AND CONSENT

I give my child permission to be enrolled in the aforementioned driver education program.

___________________________

___________________________

____________________

Parent/Guardian (Print Name)

 

Parent/Guardian (Signature)

 

Cell Phone #

EMERGENCY CONTACT INFO:

__________________________

____________________

 

 

Name

Phone #

IMPORTANT INFORMATION

1)A permit is required by October 1st , 2011.

2)The fall program starts October 1st and will be conducted for 16 weeks.

3)Fee for the program is $525. Please make check payable to Archbishop Stepinac High School and mail it with the completed/signed application by a parent or guardian to Archbishop Stepinac H.S. Driver Education Program, 950 Mamaroneck Avenue, White Plains, NY 10605

4)Payment is required with this application. After 2 weeks, all refunds for the program will be prorated.

5)Course requirements, driving and lecture time assignments will be provided at the mandatory 90-minute

Orientation on September 27th at 3:00pm in the Cafeteria.

6)Driving instruction is provided by PAS Auto School (914) 332-7700.

DO NOT WRITE BELOW THIS LINE. FOR OFFICE USE ONLY.

ASSIGNED DRIVING TIMES

___________

 

______________

_______________

 

 

Day

 

Time

Teacher

ASSIGNED LECTURE TIMES

____________

 

______________

_______________

 

 

Day

 

Time

Teacher

PAYMENT ______________

CHECK #

____________

DATE _______________

PR___

DA___

PU___

PA___