texas
TRANSCRIPT
READ THIS FIRSTTexas Supplement to
Help for the TeenagerWho Wants to Drive!
Online Program
STEP BY STEP GUIDEFor Approved Course 102
State of Texas
These details address the unique and special driver education requirements for the State of Texas Department of Public Safety
A FORMAL, PARENT-CERTIFIED, PARENT TAUGHT DRIVER EDUCATION COURSE
Revised 02/04/11
Dear Valued Customer,
Thank you for choosing our program, “Help for the Teenager Who Wants to Drive.” You have just purchased the finest, and most complete, driver education and training program available in the country.
We consider it an honor that you have chosen us to help you teach your teen how to drive. Our program will give them the structure, discipline, and skills to truly become a Safe Driver For Life.
Please review this guide before you begin this course. The following are the contents of this package:
• Quick Reference Checklist • Detailed Texas Supplement Step-by-Step Guide • DL 91A instruction page• DL 91B Instruction Page• Additional DPS forms
Texas has strict rules that govern Parent-Taught Driver Education. Before you begin the course, please verify that the intended instructor is eligible to teach under Texas rules. In accordance with our refund policy, we can not issue a refund after 30 days or after permit qualifying documentation has been issued--even if the instructor is found to be ineligible to teach. According to Texas form DL 92, eligibility requirements include:
• Student must be 14 years of age prior to beginning the classroom portion, however they may not test for an instruction permit until their 15th birthday and must complete the entire program prior to their 18th birthday.
• Instructor must be the student’s parent, step-parent, grandparent, step-grandparent, foster parent or legal guardian appointed by a court of competent jurisdiction. A power of attorney is not legally sufficient.
• The instructor must have a valid driver license for the preceding three years; or if active military personnel or spouse, a valid driver license from state of permanent residency or last duty station for the preceding three years.
• The instructor cannot have a conviction (including a probated sentence) of criminally negligent homicide or driving while intoxi-cated. In addition, the instructor must not have had their driving privileges suspended, revoked or forfeited for traffic related viola-tions in the past three years. It is the responsibility of the instructor to check both their criminal or driver records prior to requesting the packet. The Department will check the instructor’s record at the time of processing the student’s instruction permit and also at the time of processing the student’s provisional driver license. If at that time, it is determined that the instructor does not meet the requirements, the instruction permit or provisional driver license will be denied and all prior classroom instruction or behind the wheel/in car instruction provided by the ineligible instructor will be invalid.
• The instructor may not be disabled due to mental illness. Questions as to mental stability will be forwarded to the Medical Advisory Board for determination.
As you work through our program and the licensing process, we welcome your calls anytime on whatever issue or question may arise @ 1-800-942-2050 (voice only). Again, thank you for choosing our program.
Sincerely,
The Entire Staff at National Driver Training Inc.
2439 N. Union BlvdColorado Springs, CO 809091-800-942-2050www.NationalDriverTraining.com
Texas Quick Reference Checklist:
This checklist is designed as a quick reference only. Please read your welcome pack thoroughly for detailed instructions for the use of your driver education program.
Prepare for the Permit (steps 1-4 of your step-by-step guide on the next page) Register with the DPS using form DL 92
Study for Permit Test: Use the Driver Handbook, our practice permit test, and Level 1. (6 hour minimum with no more than 2 hours per day)
Online students, complete the “Before you begin your program . . .” 3-step questionnaire on your login-welcome screen to download your permit packet. CD and book students must complete the DL 91A by hand.
Obtain the Permit (step 5 of step-by-step guide) To Apply for the Permit, you need:
DPS form DL-91A (modified) Classroom Instruction Log Record showing 6 hours of study (online users download this form after completing “Before You Begin . . . ” questionnaire). Completed VOE (Verification of Enrollment and Attendance in School form) School ID or School Transcripts The DL-90A Affidavit (completed and unsigned) The License Application form (unsigned) “Raised seal” birth certificate Social Security card for your teen Proof of Auto Insurance on your vehicle DPS fee for the permit
Complete the Progam **You must obtain the permit before completing the program.** Complete Level 1 Driving (step 6 of step-by-step guide)
Work through remaining levels completing class and driving requirements and passing all 7 tests (step 6 of step-by-step guide)
Submit class and driving hours electronically (online course users) or on paper (CD-Rom and Book users) to request your Driver License Packet which includes completed forms DL91A and B (step 7 of step-by-step guide)
Obtain the License (step 8 of step-by-step guide) To apply for the license you need:
to hold the permit for 6 months be at least 16 years old Completed DL 91 A with 32 class hours Completed DL 91 B with 50 driving hours An up-to-date VOE Form Driver Education Affidavit, DL 90-B Your Valid Learners Permit Pass a Driving Test at the DPS
STEP-BY-STEP INSTRUCTION GUIDE - COURSE 102
Step 1: Verify that you have the proper course materials
NDT provides DPS approved course 102 in an online format with a variety of available upgrades. Your cus-tomer enrollment form and receipt will identify the program materials you purchased. All enrollees have access to our online program. Access to the online program requires a login ID/customer ID and password (provided on your receipt). Your ID is a 5 digit number. Your password is your 8 digit date of birth formatted YYYYMMDD.
Optional upgrades include the following: • Program CD-Rom (ideal for customers without high speed internet access)• Driver Education Manual (the online curriculum printed and spiral bound)• Traffic Safety Video Library (full length videos viewable on your TV)If any items are missing or if you wish to upgrade, please call 1-800-942-2050 for assistance.
Step 2: Register with the DPS
If you have not already sent the Request for a Parent Taught Driver Education Packet, Form DL-92 (included at the end of this document), along with $20.00 to the Texas DPS in Austin, do so now (allow 3-6 weeks for that packet). The DPS does not want you to start your driver education until you have received confirmation of your registration with them. List names of both parents / legal guardians who will be teaching your teen on this form. The DPS will enter your teen in their computer system and then they will send a certificate, DE 964, to your local DPS office. Your local office will use the DE 964 certificate to open a file on your teen in preparation for your teen’s permit test.
Step 3: The DPS Materials
You may begin tracking your teen’s study time once you receive verification of your registration with the Aus-tin DPS. The DPS materials will include the Texas Driver Handbook, Application for Drivers License, and information about the various courses approved in Texas. Please remove the License Application Forms and the Texas Driver Handbook and retain them. You may set aside all other materials in the packet and use our curriculum material and forms. You do not need to apply for any other course materials because you are using Course 102.
Step 4: Study the Texas Driver Handbook and get your first 6 hours
Course 102 is a concurrent training program. Your teen must complete 6 hours of study before applying for a permit. Have your teenager study the entire Texas Driver Handbook and fill any remaining time for the 6 hours by taking the practice permit test or reading through Level 1. Remember, the state of Texas does not accept more than 2 hours of study per day. Quiz your student on his knowledge of the Texas Driver Handbook us-ing the questions located in the back of that Handbook. A copy of the Texas Driver Handbook is available for download from our website.
Students in the online program will be able to download the DL 91A with the proper fields filled out for them by the computer. The online questionnaire is available on our welcome screen once your student logs in. Look for the question, “Before you begin your program . . .” in large red letters and fill out the questionnaire online. Once all three questions have been answered, you will get a link that says, “download your permit packet.”
Step 5: To the DPS for the Learners Permit
Collect the following documents to take to the DPS: • DPS form DL-91A (modified) Classroom Instruction Log Record showing 6 hours of study.• Completed VOE (Verification of Enrollment and Attendance in School form)• School ID or School Transcripts• The DL-90A Affidavit (completed and unsigned)• The License Application form (unsigned)• “Raised seal” birth certificate• Social Security card for your teen• Proof of Auto Insurance on your vehicle• DPS fee for the permit
Your teenager will be administered the Texas Permit Test. The DE 964 Form was sent to the DPS office you selected on your application to DPS Austin. Call us on 800-942-2050 from the DPS office if any confusion should arise regarding our program. (If you have a cellular telephone, take it with you).
Step 6: Behind the Wheel
Once you have obtained the permit, you are ready to begin behind-the-wheel instruction from level 1. Instruct your teen in the car according to the Level 1 BTW instructions. Upon passing Level 1, have your teen graduate to Level 2 and begin reading, testing, and then in-car instruction. Each level should be completed in this way. BTW guidelines are available to download and print from the online program. For your convenience, in-car guidelines are available from the “parents” section of the online program. As your teen works through the program, you will have the opportunity to update class and driving time using the links in the program that say, “Build your DL91A” and “Build your DL91B”. These forms help you organize and account for the dates on which you instruct and train.
Step 7: Course Completion
Upon completion of Level 7, you may apply for your course completion paperwork. In order to provide your “Driver License Pack” which includes your class and driving logs as well as a certificate for insurance purposes, we need the following information:
• Passing test scores for all 7 levels. (Scores must be 90% or higher)• Parent Validation of 32 Class Hours• Parent Validation of 50 Driving Hours
Once your DL91A and B forms are complete and you have completed all 7 levels online with passing test scores, the parent may validate the teens hours by updating them on the last page of the online program. When we have updated hours, test scores, and completed log forms, you may print off your “Driver License Pack” to take to the DPS for the driver license test. Students working from the CD or book will need to complete their DL91A and B forms by hand and mail in a copy (keep your original for the DPS) to us if you want us to mail you a certificate for insurance purposes. You may mail in the copy of your logs to:National Driver Training2439 N. Union BlvdColorado Springs, CO 80909
Step 8: Applying for the LicenseTake the following items with you to the DPS for the teen’s driver license:
• Your Valid Learners Permit• Proof of Insurance• DPS fee for printing the driver’s license.
• Completed DL 91A and B forms• An up-to-date VOE Form• Driver Education Affidavit, DL 90-B
Important Texas Law UpdateHouse Bill 339 is now law in Texas and went into effect September 1st, 2009. This law presents significant changes for teen drivers. In summary, those changes are:
1. Texas law requires a minimum of 34 driving hours with at least 10 hours at night instead of 14 total driving hours. National Driver Training has required 50 hours of driving since our approval in 1997 and we will continue to hold to our high standard.
2. Parent eligibility requirements now include:a. Must have held a Texas license for the past three yearsb. Must not have any felony driving convictionsc. Must have less than 6 points on their current driving recordd. Must not be disabled because of mental illness
3. Driving tests are now mandatory for all new drivers. Teen drivers may no longer waive the skills test with a state trooper.
4. Graduated Driver Licensing restrictions on the newly licensed driver are effective for the first year on the minor’s license. The restrictions include:
a. No driving between midnight and 5 am except for emergencies and school or work related activitiesb. No more than one passenger under age 21 who is not a family memberc. No use of wireless communications devices except in the case of an emergency.
National Driver Training Institute believes these law changes are sensible and necessary. They will save lives.
How To Complete the DL 91AClassroom Instruction Log Record
NDTI’s Help for the Teenager Who Wants to Drive is a concurrent training program. This means the DL 91A form will be presented to the DPS on two occasions; for the permit after 6 hours of instruction, and for the license after the course is completed. NDTI Online students may complete and print the DL 91A from the online program using a simple online questionnaire. Students using the CD-Rom or book versions of the curriculum will receive a customized DL 91A with their material. This form is not valid unless you bring your enrollment receipt with it.
When applying for the permit the following fields must be completed: Student Name, Instructor Name, Classroom Instruction Began, Instructor License Number, Course Number, Student ID, and Texas DPS Approved Curriculum Utilized. Please do not complete the field for Classroom Instruction Completed.
You will also need to input the dates for the first 6 hours of classroom instruction. Classroom instruction may be given up to two (2) hours per day and includes reading from the Texas Driver Handbook as well as our Level 1 reading and videos. Here is a sample of how the DL 91A may be filled out in preparation for taking the permit test at your local DPS station:
Students in the online program will be able to download the DL 91A with the proper fields filled out for them by the computer. The online questionnaire is available on our welcome screen once your student logs in. The student must answer three questions:
Question 1 asks for the date that the student began studying for the permit test. This date must be on or after the date that the family received confirmation of their registration with the DPS.
Question 2 asks for the date that the student finished the fourth hour of study. For many students, this is the date that they completed the Texas Driver Handbook.
Question 3 asks for the date that the student completed the 6th hour of study. For some students, all 6 hours are spent in the Texas Driver Handbook. Other students may spend up to 2 hours in Level 1 online.
CLASSROOM INSTRUCTION LOG RECORDNot Valid Without Accompanying Receipt With Identical Student ID
Student’s Name Instructor’s Name
Date Classroom Instruction Began Instructor’s Texas License Number
Date Classroom Instruction Completed Course Number Student ID:
Texas DPS Approved Curriculum Utilized
NOTICE: The classroom portion of the course may not be completed in less than 20 calendar days with a maximum of two hours of instruction in any one day.
Module Minimum HoursRequired Hours
Date of Instruction
Module 1 / Level 1: Texas Driver Responsibilites - Knowing Texas Traffic Laws. (Requires a thorough study of the Texas Driver Handbook and Help for the Teenager Who Wants to Drive Level 1 part 1).
6 Hours(360 Minutes)
Hour 1
Hour 2
Hour 3
Hour 4
Hour 5
Hour 6
Module 2 / Levels 1 & 2: Texas Driver Responsibilites - Preparing to Operate a Vehicle. (Level 1 - Familiarity with the vehicle, Reference Points, Level 2 - Visibility)
3 Hours(180 minutes)
Hour 1
Hour 2
Hour 3
Module 3 / Level 2: Basic Maneuvering Tasks - Low Risk Driving Environment (Level 2 - Sharing the Road, Right-of-Way)
3 Hours(180 minutes)
Hour 1
Hour 2
Hour 3
Module 4 / Level 3 & 4: Basic Maneuvering Tasks - Moderate Risk Driving Environment (Level 3 - Traffic, Traffic Controls, Aggressive Drivers, Level 4 - Space Maintenance)
3 Hours(180 minutes)
Hour 1
Hour 2
Hour 3
Module 5 / Level 4: Information Processing - Moderate Risk Driving Environment (Level 4 - Navigation, Following Distance)
2 Hours(120 Minutes)
Hour 1
Hour 2
Module 6 / Levels 2 & 5: Information Processing - Complex Risk Driving Environment(Level 2 - Awareness, Level 5 - Adjust Speed)
2 Hours(120 Minutes)
Hour 1
Hour 2
Module 7 / Levels 2, 3, & 7: Driver Performance - Personal Factors (Level 2 - Distractions, Level 3 - Drivers impaired physically, by illness, or drowsy, Level 7 - Alcohol, illegal drugs, prescription drugs, OTC medicines)
6 Hours(360 Minutes)
Hour 1
Hour 2
Hour 3
Hour 4
Hour 5
Hour 6
Module 8 / Levels 5 & 6: Driver Responsibilites - Adverse Conditions (Level 5 - Adverse Weather, Level 6 - Traction Loss)
3 Hours(180 minutes)
Hour 1
Hour 2
Hour 3
Module 9 / Level 6: Driver Responsibilites - Vehicle Functions (Level 6 - Vehicle Technologies)
2 Hours(120 Minutes)
Hour 1
Hour 2
Module 10 / Level 7: Driver Responsibilites - Making Informed Choices (Level 7 - Vehicle Purchase, Insurance, Security)
2 Hours(120 Minutes)
Hour 1
Hour 2
Total 32 hours(1920 Minutes)
The Classroom Instruction should be taught in accordance with your course guidelines and recorded above.
*You will be required to present this form and a copy of your customer receipt at the Driver License Office when the student applies for an Instruction Permit.
DL-91A Modified-Course 102
Course 102
National Driver Training’s “Help for the Teenager Who Wants to Drive”
Course 102 follows the CONCURRENT program. The student should apply for and obtain an instruction permit from the Texas Department of Public Safety upon successful completion and mastery of Module 1 / Level 1. This must include a minimum of 6 hours of classroom instruction.
Under NO circumstances may ANY behind-the-wheel instruction and/or in-car supervised practice be permitted UNTIL an instruction permit has been issued to the student by the Texas Department of Public Safety.
SAMPL
ESheryl Harper Martyn Harper
January 2, 2010 87654321
50123
01/02/1001/02/1001/03/1001/03/1001/04/1001/04/10
How To Complete the DL 91AClassroom Instruction Log Record (cont)
Once the teen has an instruction permit, he or she must still complete the remaining 26 hours of classroom instruction as well as Behind-The-Wheel instruction through our program. Total combined class and driving instruction are not to exceed 2 hours in one day. Here again, online students may complete this form using the links in the online program.
Note: the DL 91A Classroom Instruction Log Record is built on a Texas standard 10 module outline. NDTI’s program is divided into seven levels to more easily associate the required driving instruction with the class time. Your classroom instruction hours will not appear on the DL 91 A in date order (see sample form below).
Remember, a teen must hold a permit for at least 6 months. Your family may find it beneficial to take a slow pace through the program. Be sure to copy the final date of instruction into the “Classroom Instruction Completed” field in the header of the form.The following sample form illustrates how to complete the DL 91A on a very aggressive training schedule with one hour devoted each day until the classroom instruction is completed:
CLASSROOM INSTRUCTION LOG RECORDNot Valid Without Accompanying Receipt With Identical Student ID
Student’s Name Instructor’s Name
Date Classroom Instruction Began Instructor’s Texas License Number
Date Classroom Instruction Completed Course Number Student ID:
Texas DPS Approved Curriculum Utilized
NOTICE: The classroom portion of the course may not be completed in less than 20 calendar days with a maximum of two hours of instruction in any one day.
Module Minimum HoursRequired Hours
Date of Instruction
Module 1 / Level 1: Texas Driver Responsibilites - Knowing Texas Traffic Laws. (Requires a thorough study of the Texas Driver Handbook and Help for the Teenager Who Wants to Drive Level 1 part 1).
6 Hours(360 Minutes)
Hour 1
Hour 2
Hour 3
Hour 4
Hour 5
Hour 6
Module 2 / Levels 1 & 2: Texas Driver Responsibilites - Preparing to Operate a Vehicle. (Level 1 - Familiarity with the vehicle, Reference Points, Level 2 - Visibility)
3 Hours(180 minutes)
Hour 1
Hour 2
Hour 3
Module 3 / Level 2: Basic Maneuvering Tasks - Low Risk Driving Environment (Level 2 - Sharing the Road, Right-of-Way)
3 Hours(180 minutes)
Hour 1
Hour 2
Hour 3
Module 4 / Level 3 & 4: Basic Maneuvering Tasks - Moderate Risk Driving Environment (Level 3 - Traffic, Traffic Controls, Aggressive Drivers, Level 4 - Space Maintenance)
3 Hours(180 minutes)
Hour 1
Hour 2
Hour 3
Module 5 / Level 4: Information Processing - Moderate Risk Driving Environment (Level 4 - Navigation, Following Distance)
2 Hours(120 Minutes)
Hour 1
Hour 2
Module 6 / Levels 2 & 5: Information Processing - Complex Risk Driving Environment(Level 2 - Awareness, Level 5 - Adjust Speed)
2 Hours(120 Minutes)
Hour 1
Hour 2
Module 7 / Levels 2, 3, & 7: Driver Performance - Personal Factors (Level 2 - Distractions, Level 3 - Drivers impaired physically, by illness, or drowsy, Level 7 - Alcohol, illegal drugs, prescription drugs, OTC medicines)
6 Hours(360 Minutes)
Hour 1
Hour 2
Hour 3
Hour 4
Hour 5
Hour 6
Module 8 / Levels 5 & 6: Driver Responsibilites - Adverse Conditions (Level 5 - Adverse Weather, Level 6 - Traction Loss)
3 Hours(180 minutes)
Hour 1
Hour 2
Hour 3
Module 9 / Level 6: Driver Responsibilites - Vehicle Functions (Level 6 - Vehicle Technologies)
2 Hours(120 Minutes)
Hour 1
Hour 2
Module 10 / Level 7: Driver Responsibilites - Making Informed Choices (Level 7 - Vehicle Purchase, Insurance, Security)
2 Hours(120 Minutes)
Hour 1
Hour 2
Total 32 hours(1920 Minutes)
The Classroom Instruction should be taught in accordance with your course guidelines and recorded above.
*You will be required to present this form and a copy of your customer receipt at the Driver License Office when the student applies for an Instruction Permit.
DL-91A Modified-Course 102
Course 102
National Driver Training’s “Help for the Teenager Who Wants to Drive”
Course 102 follows the CONCURRENT program. The student should apply for and obtain an instruction permit from the Texas Department of Public Safety upon successful completion and mastery of Module 1 / Level 1. This must include a minimum of 6 hours of classroom instruction.
Under NO circumstances may ANY behind-the-wheel instruction and/or in-car supervised practice be permitted UNTIL an instruction permit has been issued to the student by the Texas Department of Public Safety.
SAMPL
ESheryl Harper Martyn Harper
January 2, 2010 87654321
50123
01/02/1001/02/1001/03/1001/03/1001/04/1001/04/1001/06/1001/07/1001/08/1001/09/10
01/12/1001/16/1001/17/1001/19/1001/20/1001/21/1001/13/1001/22/1001/14/1001/15/1001/18/1001/25/1001/27/1001/28/1001/23/1001/24/1001/25/1001/26/1001/24/1001/29/1001/30/10
01/10/10
January 29, 2010
01/30/10
How To Complete the DL 91BBehind-The-Wheel Instruction Log Record
Once the teen has an instruction permit, he or she may begin Behind-The-Wheel instruction through our program. Behind-The-Wheel instruction and Supervised Practice must not exceed 1 hour per day. Total combined class and driving instruction are not to exceed 2 hours in one day. As Behind-The-Wheel instruction hours are completed, log them in the appropriate box. Online students may complete this form using the tools in the online program.
Note: the DL 91B Behind-The-Wheel Instruction Log Record is built on a Texas standard 10 module outline. NDTI’s program is divided into seven levels to more easily associate the required driving instruction with the class time. Your Behind-The-Wheel instruction and Supervised Driving hours will not appear on the DL 91 B in date order (see sample form below).
Remember, a teen must hold a permit for at least 6 months. National Driver Training believes you will gain the greatest benefit by taking a slow pace through the program.
The following sample form illustrates how to complete the DL 91B on a very aggressive training schedule with one hour devoted each day until the Behind-The-Wheel instruction and Supervised Driving are completed:
BEHIND-THE-WHEEL INSTRUCTION LOG RECORDNot Valid Without Matching DL 91A
Student’s Name Student’s Texas Instruction Permit Number
Instructor’s Name Instructor’s Texas License Number
Course Number Date Behind-the-Wheel Instruction Began
Student ID Date Behind-the-Wheel Instruction Completed
The student cannot begin the Behind-the-Wheel instruction and/or in-car supevised practice UNTIL a Texas Instruction Permit has been issued to the studen by the Texas Department of Public Safety.
The combined hours of classroom instruction and/or in-car instruction/practice may NOT exceed a total of TWO hours of instruction in one(1) day. The combined hours of Behind-the-Wheel instruction and in-car supervised practice may NOT exceed ONE hour of instrucion in one (1) day. The Behind-the-Wheel instruction may NOT be completed in less than 14 calendar days.
Classroom and Concurrent Programs: Module One, Instructional Topic, 1.1.1-1.1.6Under the Concurrent program, after successfully completing and mastering the required hours from Module One, the student driver may apply for and obtain an instruction permit from the Texas Department of Public Safety. Under the Block program, the entire classroom portion of driver edu-caiton must be completed prior to application for the instruction permit. A student without a valid instruction permit in his/her possession shall not receive Behind-the-Wheel training no matter when the instruction is provided as specified by the Texas Administrative Code.(The licensing process cannot be credited as classroom, Behind-the-Wheel, or in-car observation training although it is identified as an instructional objective.)
Behind-The-Wheel Instruction and In-Car Supervised Practice Instruction Modules/Levels
Behind-The-Wheel Instruction Completed
(Minimum Required)
In-Car SupervisedPractice Completed
(Minimum Required)
Beginning Dates of Behind-The-Wheel and In-Car Practice.
Ending Dates of Behind-The-Wheel and In-Car Practice
Module 2.2 / Level 1Pre-Drive, Occpant Protection, Symbols, Devices
Starting, Vehicle Operation, Post-Drive
30 minutes
30 minutes
Module 3.2 / Level 2Visual Attention, Communication, Reference Points
Vehicle Balance,Vehicle Manuevers
60 minutes
60 minutes
Module 4.2 / Level 3Driving Practices, Fatigue, Aggresive Driving
Basic Maneuvers, Sharing Road w/Impaired Driver
60 minutes
60 minutes
Module 5.2 / Level 4Risk Factors, Space Management,
45 minutes
45 minutes
Module 6.2 / Levels 3 & 5Share the Road w/Pedestrian and Vehicle Traffic
Identify Conditions of Greater Risk
60 minutes
60 minutes
Module 7.2 / Level 5Recognize/React to Distracted Drivers,
Drive in Areas of Moderate to Complex Risk
45 minutes
45 minutes
Module 8.2 / Level 5Vehicle Movement and Reference Points
Advanced Parking Maneuvers
45 minutes
45 minutes
Module 9.2 / Level 7Comprehensive In-Car Progress Assessment
45 minutes
45 minutes
Module 10.2 / Level 6Emergency Braking and Steering
Vehicle Safety Technologies
30 minutes
30 minutes
Total 7 hours 7 hours
The Behind-The-Wheel and In-Car Practice Instruction should be taught in accordance with your course guidelines and recorded above.
*You will be required to present this form at the Driver License Office when the student applies for a Texas Driver License
DL-91B Modified-Course 102
Course 102
SAMPL
E01/05/10 01/05/10
01/05/10 01/05/10
01/06/10
01/07/1001/16/10
01/17/1001/20/10
01/20/10
01/19/10
01/22/1001/23/10
01/23/10
01/24/1001/25/10
01/29/1001/30/1001/27/10
01/27/10
01/30/10
01/06/10
01/08/1001/16/10
01/18/1001/20/10
01/21/10
01/19/10
01/22/1001/23/10
01/24/10
01/25/1001/26/10
01/29/1001/30/1001/27/10
01/27/10
01/30/10
Sheryl Harper
Martyn Harper
January 5, 2010
87654321
50123
10987654
March 8, 2010
How To Complete the DL 91B (cont)Behind-The-Wheel Instruction Log Record
In addition to the initial 14 hours of Behind-The-Wheel Instruction and Supervised Practice, the State of Texas requires and additional 20 hours of Supervised Practice. Historically, National Driver Training has required an additional 36 hours of Supervised Practice. Log these additional Supervised Practice Hours on the DL 91B(cont) form. You must not log more than one hour of additional Supervised Practice per day. Here again, this form may be completed online using the interface in the program. Your additional Supervised Driving hours should appear on the DL 91B(cont) in date order (see sample form below).
Below the supervised driving hours, you will find a table in which you may enter night driving hours. As of May 1st, Texas requires you to complete 10 hours of night driving.
Remember, a teen must hold a permit for at least 6 months. National Driver Training believes you will gain the greatest benefit by taking a slow pace through the program.
The following sample form illustrates how to complete the DL 91B(cont) on a very aggressive training schedule with one hour devoted each day until the additional Supervised Driving hours are completed:
BEHIND-THE-WHEEL INSTRUCTION LOG RECORD (CONT)Not Valid Without Matching DL 91A
Student’s Name Student’s Texas Instruction Permit Number
Instructor’s Name Instructor’s Texas License Number
Course Number Date Behind-the-Wheel Instruction Began
Student ID Date Behind-the-Wheel Instruction Completed
The student cannot begin the Behind-the-Wheel instruction and/or in-car supevised practice UNTIL a Texas Instruction Permit has been issued to the studen by the Texas Department of Public Safety.
The combined hours of classroom instruction and/or in-car instruction/practice may NOT exceed a total of TWO hours of instruction in one(1) day. The combined hours of Behind-the-Wheel instruction and in-car supervised practice may NOT exceed ONE hour of instrucion in one (1) day. The Behind-the-Wheel instruction may NOT be completed in less than 14 calendar days.
In addition to the 7 hours of Behind-The-Wheel instruction and 7 hours of in-car supervised driving, Texas law requires additional supervised driving and Course 102 requires that the additional time equal 36 hours of driving not including the hours recorded on the front side of this form. Use this form to log additional in-car practice hours. Dates recorded on this side of the form must not include dates recorded on the front side of the form.(The licensing process cannot be credited as classroom, Behind-the-Wheel, or in-car observation training although it is identified as an instructional objective.)
AdditionalIn-Car SupervisedPractice Completed
Beginning Dates of additional
In-Car Practice.
Ending Dates of additional
In-Car Practice
60 minutes 02/01/10 02/01/10
60 minutes 02/02/10 02/02/10
60 minutes 02/03/10 02/03/10
60 minutes 02/04/10 02/04/10
60 minutes 02/05/10 02/05/10
60 minutes 02/06/10 02/06/10
60 minutes 02/07/10 02/07/10
60 minutes 02/08/10 02/08/10
60 minutes 02/09/10 02/09/10
60 minutes 02/10/10 02/10/10
60 minutes 02/11/10 02/11/10
60 minutes 02/12/10 02/12/10
60 minutes 02/13/10 02/13/10
60 minutes 02/14/10 02/14/10
60 minutes 02/15/10 02/15/10
60 minutes 02/16/10 02/16/10
60 minutes 02/17/10 02/17/10
60 minutes 02/18/10 02/18/10
The Behind-The-Wheel and In-Car Practice Instruction should be taught in accordance with your course guidelines and recorded above.
*You will be required to present this form at the Driver License Office when the student applies for a Texas Driver License
DL-91B Modified-Course 102
AdditionalIn-Car SupervisedPractice Completed
Beginning Dates of additional
In-Car Practice.
Ending Dates of additional
In-Car Practice
60 minutes 02/19/10 02/19/10
60 minutes 02/20/10 02/20/10
60 minutes 02/21/10 02/21/10
60 minutes 02/22/10 02/22/10
60 minutes 02/23/10 02/23/10
60 minutes 02/24/10 02/24/10
60 minutes 02/25/10 02/25/10
60 minutes 02/26/10 02/26/10
60 minutes 02/27/10 02/27/10
60 minutes 02/28/10 02/28/10
60 minutes 03/01/10 03/01/10
60 minutes 03/02/10 03/02/10
60 minutes 03/03/10 03/03/10
60 minutes 03/04/10 03/04/10
60 minutes 03/05/10 03/05/10
60 minutes 03/06/10 03/06/10
60 minutes 03/07/10 03/07/10
60 minutes 03/08/10 03/08/10
Total: 36 hours of additional in-car practice
Course 102
Cheryl Harper
50125
Texas law now requires minors to complete at least 10 hours of night driving. In the spaces below, identify the dates over which your teen completed the 10 required night driving hours. These dates will most likely come from supervised driving hour dates recorded in the tables above.
10 Night Driving Hours were completed over the following dates:
Hour 1 02/04/10 Hour 2 02/07/10 Hour 3 02/15/10 Hour 4 02/20/10 Hour 5 02/21/10
Hour 6 02/24/10 Hour 7 02/26/10 Hour 8 03/01/10 Hour 9 03/04/10 Hour 10 03/07/10
Marilyn Harper
10987654
87654321
January 6th, 2010
March 8th 2010
SAMPL
E
Additional Texas Forms
Forms DL 91A and B are secure forms that must be obtained through your customer file either online at www.NationalDriverTraining.com or by calling our office at 1-800-942-2050.
For your convenience, the following forms are available in this packet and online at www.NationalDriverTraining.com/texas_drivereducation.php
• DL 92 Request for Parent Taught Driver Education Packet• DL 14A Driver License Application• DL 90A Parent Taught Driver Education Affidavit (for permit)• Texas Education Agency Verification of Enrollment and Attendance Form (for permit)• DL 90B Parent Taught Driver Education Affidavit (for license)• Texas Education Agency Verification of Enrollment and Attendance Form (for license)
Ple
ase
com
plet
e an
d su
bmit
with
a $
20.0
0 no
n-re
fund
able
fee
(che
ck o
r m
oney
ord
er o
nly)
to th
e ad
dres
s in
the
top
left
corn
er. A
sepa
rate
req
uest
form
and
$20
non
-ref
unda
ble
fee
are
requ
ired
for
each
stu
dent
who
will
be
p a rti
cipa
ting
in th
e P
aren
t Ta
ught
Driv
er E
duca
tion
Pro
gram
.
Pro
gram
Elig
ibili
ty R
equi
rem
ents
• S
tude
nt m
ust b
e 14
yea
rs o
f age
prio
r to
beg
inni
ng th
e cl
assr
oom
por
tion,
how
ever
they
may
not
test
for
an in
stru
ctio
n pe
rmit
until
thei
r 15
thbi
rthda
y an
d m
ust c
ompl
ete
the
entir
e pr
ogra
m p
rior
to th
eir
18th
birth
day.
• In
stru
ctor
mus
t be
the
stud
ent’s
par
ent,
step
-par
ent,
gran
dpar
ent,
step
-gra
ndpa
rent
, fos
ter
pare
nt o
r le
gal g
uard
ian
appo
inte
d by
a c
ourt
of c
ompe
tent
juris
dict
ion.
Apo
wer
of a
ttorn
ey is
not
lega
lly s
uffic
ient
.•
The
inst
ruct
or m
ust h
ave
a va
lid T
exas
driv
er li
cens
e fo
r th
e pr
eced
ing
thre
e ye
ars;
or
if ac
tive
duty
mili
tary
per
sonn
el o
r sp
ouse
, a v
alid
driv
er li
cens
e fro
m s
tate
of p
erm
anen
t res
iden
cy o
r la
st d
uty
stat
ion
for
the
prec
edin
gth
ree
year
s.•
The
inst
ruct
or c
anno
t hav
e a
conv
ictio
n (in
clud
ing
a pr
obat
ed s
ente
nce)
of c
rimin
ally
neg
ligen
t hom
icid
e or
driv
ing
whi
le in
toxi
cate
d. In
add
ition
, the
inst
ruct
or m
ust n
ot h
ave
had
thei
r dr
ivin
g pr
ivile
ges
susp
ende
d, r
evok
ed o
rfo
rfeite
d fo
r tra
ffic
rela
ted
viol
atio
ns in
the
past
thre
e ye
ars.
It is
the
resp
onsi
bilit
y of
the
inst
ruct
or to
che
ck b
oth
thei
r cr
imin
al o
r dr
iver
rec
ords
prio
r to
req
uest
ing
the
pack
et. T
he D
epar
tmen
t will
che
ck th
e in
stru
ctor
’s re
cord
at th
e tim
e of
pro
cess
ing
the
stud
ent’s
inst
ruct
ion
perm
it an
d al
so a
t the
tim
e of
pro
cess
ing
the
stud
ent’s
pro
visi
onal
driv
er li
cens
e. If
at t
hat t
ime,
it is
det
erm
ined
that
the
inst
ruct
or d
oes
not m
eet t
he re
quire
men
ts, t
he in
stru
c-tio
n pe
rmit
or p
rovi
sion
al d
river
lice
nse
will
be
deni
ed a
nd a
ll pr
ior
clas
sroo
m in
stru
ctio
n or
beh
ind
the
whe
el/in
car
inst
ruct
ion
prov
ided
by th
e in
elig
ible
inst
ruct
or w
ill b
e in
valid
.•
The
inst
ruct
or m
ay n
ot b
e di
sabl
ed d
ue to
men
tal i
llnes
s. Q
uest
ions
as
to m
enta
l sta
bilit
y w
ill b
e fo
rwar
ded
to th
e M
edic
al A
dvis
ory
Boa
rd fo
r de
term
inat
ion.
The
inst
ruct
or m
ay g
o to
any
loca
l Driv
er L
icen
se o
ffice
to h
ave
the
stud
ent a
pply
for
the
licen
se a
nd ta
ke th
e re
quire
d te
st.
NO
TE: A
LLIN
FOR
MA
TIO
N A
ND
RE
QU
IRE
D F
EE
MU
ST
BE
SU
BM
ITTE
D B
EFO
RE
AP
AR
EN
T TA
UG
HT
DR
IVE
R E
DU
CA
TIO
N P
AC
KE
T W
ILL
BE
MA
ILE
D.
PLE
AS
E A
LLO
W 2
-3 W
EE
KS
FO
R D
ELI
VE
RY
.
Mai
l Req
uest
For
m a
nd F
ee T
o:Li
cens
e Is
suan
ce B
urea
uTe
xas
Dep
artm
ent o
f Pub
lic S
afet
yP
O B
ox 1
4924
6A
ustin
, TX
787
14-9
246
RE
QU
EST
FOR
APA
RE
NT
TAU
GH
TD
RIV
ER
ED
UC
AT
ION
PA
CK
ET
DL-
92 (R
ev. 4
/07)
* 4 6 2 0 0 7 *
Inst
ruct
or’s
Info
rmat
ion
(Par
ent o
r Le
gal G
uard
ian)
. The
Par
ent T
augh
t Dri
ver
Edu
catio
n P
acke
t will
be
mai
led
to th
e ad
dres
s be
low
.
Ple
ase
prin
t or
type
in b
lack
ink.
Thi
s fo
rm is
rea
d by
mac
hine
; ple
ase
prin
t the
num
bers
and
lett
ers
as s
how
n be
low
:
A
BC
DE
FG
HI
J
K
L M
NO
P
Q
R S
T
U
V W
X
Y Z
1 2
3 4
5
6
7 8
9
0
Firs
t Nam
e
Last
Nam
e
Mai
ling
Add
ress
City
Sta
te
Zip
Cod
e
Day
time
Tele
phon
e N
umbe
r (in
clud
e ar
ea c
ode)
Firs
t Nam
e
Mid
dle
Nam
e
Last
Nam
e
Suf
fix (J
r., S
r., e
tc.)
Dat
e of
birt
h
M M
D D
YY
YY
––
Stu
dent
’s In
form
atio
n. C
ompl
ete
the
lega
l nam
e fo
r th
e st
uden
t.
Inst
ruct
or’s
Sig
natu
re
Dat
e
See
oth
er s
ide
for
addi
tiona
lqu
alify
ing
info
rmat
ion
REQUIRED INFORMATION FROM ALL APPLICANTS:YES NO
1. Do you wish to donate $1.00 to the Blindness Education Screening and Treatment Program?2. Do you wish to donate $1.00 to the Glenda Dawson Donate Life – Texas Registry?
Would you like to register as an organ donor?Do you consent to the release of your name, date of birth, driver license number and recent address to the statewide internet-basedregistry of organ, tissue and eye donors and for release to qualified organ, tissue and eye bank organizations?
3. Do you have a health condition that may impede communication with a peace officer? If yes, Please list(must complete form DL-101)
4. Would you like to complete a voter registration application form today? You must be eligible.(¿Le gustaria llenar la forma de registro de votante hoy? Tiene que ser elegible.)
5. Have you ever had a Texas identification card? Number When?6. Have you ever had a driver license or instruction permit in Texas? Number When?7. Have you ever had a license or instruction permit in any other state? List State(s)
Number(s) When?
REQUIRED INFORMATION FROM DRIVER LICENSE APPLICANTS:
YES NO DRIVING HISTORY INFORMATION8. Are you enrolled in or have you completed an approved driver education course?9. Is your driver license or driver privilege CURRENTLY or EVER been suspended, revoked, canceled, denied or disqualified in ANY state?
Where? When? Why?VEHICLE REGISTRATION AND INSURANCE INFORMATION
10. Do you own a motor vehicle which is required to be registered (Texas Transportation Code Section 502.002)?11. Do you own a motor vehicle which is required to have liability insurance OR other proof of financial responsibility in compliance with the
Motor Vehicle Safety Responsibility Act (Texas Transportation Code Section 601.051)?
APPLICATION CONTINUED ON BACKFOR DEPARTMENT USE ONLY
DOCUMENT PRESENTED: DOCUMENT NUMBER: ISSUING AGENCY:DOCUMENT PRESENTED: DOCUMENT NUMBER: ISSUING AGENCY:DOCUMENT PRESENTED: DOCUMENT NUMBER: ISSUING AGENCY:DOCUMENT PRESENTED: DOCUMENT NUMBER: ISSUING AGENCY:DOCUMENT PRESENTED: DOCUMENT NUMBER: ISSUING AGENCY:
APPLICATION for: DRIVER LICENSE COMMERCIAL DRIVER LICENSE (CDL)
LEARNERS LICENSE IDENTIFICATION CARD
NON-RESIDENT COMMERCIAL DRIVER LICENSE
APPLICANT INFORMATIONLAST NAME:FIRST NAME:MIDDLE NAME:SUFFIX:MAIDEN NAME:
DATE OF BIRTH:— —
SOCIAL SECURITY NUMBER:— —
SEX: MALE FEMALEEYE COLOR: HAIR COLOR:RACE: HEIGHT: ft. in.WEIGHT: LBS.
UNITED STATES CITIZEN: yes noPLACE OF BIRTH: CITY: COUNTY: STATE: COUNTRY:FATHER’S LAST NAME: MOTHER’S MAIDEN NAME:
CONTACT INFORMATIONHOME PHONE:OTHER PHONE:EMAIL:
ADDRESS INFORMATIONRESIDENCE ADDRESS: (in line below)
CITY: COUNTY:STATE: ZIP CODE:COUNTRY:
MAILING ADDRESS:
CITY: STATE:ZIP CODE: COUNTRY:
FOR DEPARTMENT USE ONLYRESTRICTIONS/ENDORSEMENTS
ASSIGNED #
DL-14A (Rev. 9/09)
APPLICATION FOR TEXAS DRIVER LICENSEOR IDENTIFICATION CARD
NOTICE: All information on this application, except the signature, must beTYPEWRITTEN or PRINTED in BLACK INK. The signature shall be WRITTEN in
BLACK INK. ONCE THIS APPLICATION FORM AND FEE HAVE BEEN SUBMITTED,NO REFUNDS WILL BE MADE. Applications held only 90 days.
(Circle Class Desired)
CLASS
A B C M
DRIVER LICENSE APPLICANTSThe answers to questions 1 through 7 below are for the confidential use of the DepartmentYES NO MEDICAL HISTORY QUESTIONS
1. Do you currently have or have you ever been diagnosed with or treated for any medical condition that may affect your ability to safelyoperate a motor vehicle?
EXAMPLES, including but not limited to: Diagnosis or treatment for heart trouble, stroke, hemorrhage or clots, high blood pressure, emphysema (withinpast two years) • progressive eye disorder or injury (i.e., glaucoma, macular degeneration, etc.) • loss of normal use of hand, arm, foot or leg • blackouts,seizures, loss of consciousness or body control (within the past two years) • difficulty turning head from side to side • loss of muscular control • stiff joints orneck • inadequate hand/eye coordination • medical condition that affects your judgment • dizziness or balance problems • missing limbsPlease explain and identify medical condition:2. Within the past two years, have you been diagnosed with, been hospitalized for or are you now receiving treatment for a psychiatric disorder?3. Have you ever had an epileptic seizure, convulsion, loss of consciousness, or other seizure?4. Do you have diabetes requiring treatment by insulin?5. Do you have any alcohol or drug dependencies that may affect your ability to safely operate a motor vehicle or have you had any episodes
of alcohol or drug abuse within the past two years?6. Within the past two years have you been treated for any other serious medical conditions? Please explain:
7. Have you EVER been referred to the Texas Medical Advisory Board for Driver Licensing?
NOTICE The information on this application is required by the Texas Driver License Act, Texas Transportation Code Chapter 521. Failure to provide theinformation is cause for refusal to issue a driver license or identification card, and in some cases, cancellation or withdrawal of the driving privilege. Falseinformation could also lead to criminal charges with penalties of a fine up to $4,000.00 and/or jail.
DO NOT SIGN UNTIL INSTRUCTED TO DO SO BY NOTARY PUBLIC OR DRIVER LICENSE EMPLOYEE.
CERTIFICATIONI do solemnly swear, affirm, or certify that I am the person named herein and that the statements on this application are true and correct.I further certify my residence address is a : ( ) single family dwelling, ( ) apartment, ( ) motel, ( ) temporary shelter. (check one)I agree to immediately report to the Texas Department of Public Safety any changes in my medical condition which may affect my ability to safelyoperate a motor vehicle. I further understand that I am required by law to report any change of name or address to the Department of PublicSafety within thirty days. X
SOCIAL SECURITY NUMBER COLLECTION DISCLOSUREDisclosure of your social security account number is mandatory for driver license applicants, but voluntary for identification card applicants. This informa-tion is solicited pursuant to 42 U.S.C. 405(c)(2)(C)(i), 42 U.S.C. 666(a)(13)(A); 49 C.F.R. 383.153, Texas Family Code Section 231.302(c)(1) and TexasTransportation Code Sections 522.021 and 521.142. The Department will use social security account number information for identification purposes andwill only release the number to the Child Support Enforcement Division of the Attorney General’s Office, the U.S. Selective Service Administration and theTexas Secretary of State for statutorily authorized purposes pursuant to Texas Transportation Code Section 521.044.
VERIFICATION
Sworn to and subscribed before me this day of ,
Notary Public in and for the State of Texas/Authorized Officer
PARENTAL AUTHORIZATIONRequired for all driver license applicants under the age of 18
I do solemnly swear, affirm, or certify that I am the person named herein, that the statements on this application are true and correct,that the above named applicant is my ( ) child ( ) stepchild ( ) ward, and that I have legal custody of the applicant. I authorize the Departmentof Public Safety to issue a Class ( ) A, ( ) B, ( ) C, or ( ) M license to said minor.
Usual Written Signature of Parent or Guardian Driver License Number Date
WAIVER OF PARENTAL AUTHORIZATION
Parental Authorization waived. Authority DL Employee #
Pursuant to Texas law, the Texas Department of Public Safety will provide every minor applicant (under age 18), and cosigner, for a driverlicense in Texas, educational information concerning state laws relating to driving while intoxicated, driving by a minor with alcohol in theminor’s system, and the implied consent law. The minor applicant and the cosigner must acknowledge receipt of that information prior toissuance of any driver license or permit.
I hereby acknowledge receipt of the information concerning DWI, the Zero Tolerance Law and the Implied Consent Law.
Minor Applicant Parent/Legal Guardian Date of Receipt
State of Texas
County of ________________
CLASSROOM INSTRUCTION - DRIVER EDUCATION AFFIDAVIT (For Class C Learner License)
(All information on this affidavit, except the signature, must be TYPEWRITTEN or PRINTED in BLACK INK. The signature must be written in BLACK INK.) I, __________________________________________________, valid Texas driver license number _______________________, (Instructor’s Legal Name) hereby certify that the following information contained in this form is true and correct. I am the instructor of, _____________________________________________________, (Student’s Legal Name) whose date of birth is ________________________, thereby meeting the age requirement to obtain a Class C Learner License. (MM-DD-YYYY) I further certify that: I am the parent, stepparent, foster parent, legal guardian, step-grandparent, or grandparent of the above named student; that I possessed a valid driver license for the preceding three years; that I have not been convicted of Criminally Negligent Homicide or Driving While Intoxicated; that I have not had my driving privileges suspended, revoked or forfeited in the past three years for traffic-related violations; and that I am not disabled because of mental illness. I further certify that I have instructed my student in the following Texas Department of Public Safety approved course of instruction: (mark only one area of instruction) 32 hours of classroom instruction under the BLOCK program 6 hours of classroom instruction under the CONCURRENT program Title of Texas DPS Approved PTDE Training Course used ______________________________________________ Course Number: ____________
I acknowledge that falsely certifying the information contained in this affidavit will subject me to criminal penalties under Texas Transportation Code 521.454. _____________________________________________________ ____________________________ (Signature) (Date) Sworn to and subscribed before me this _________ day of ______________________________, 20_______.
_____________________________________________ Notary Public in and for the State of Texas/Authorized Officer.
PLEASE NOTE: One affidavit is required for each instructor who actually taught a student in each phase of the course. If there is more than one instructor, this form may be photocopied for use by the other instructor(s). All instructors must accompany the student when applying for a Learner License. This affidavit must be signed either before a Driver License employee at the Driver License Office or before a Notary Public before coming to the Texas Department of Public Safety Driver License Office. The document(s) must be presented when the student applies for a Learner License. Definition of a qualified instructor can be found in the instruction packet.
FOR DPS USE ONLY Texas Driver Education Certificate, form DE-964, #________________________________
DL-90A (Rev. 10/08)
Help for the Teenager Who Wants to Drive102
Form CDD-104 Revised 1/2006
School Name County-District-Campus No. (If Applicable)
Verification of Enrollment and Attendance (VOE) Form Planned Use of Data: To provide documentation of enrollment and attendance status to the Texas Department of Public Safety (DPS) for a student applying for an instruction permit and/or a license to operate a motor vehicle. The student presents the completed form to DPS. DONOT return this form to the Texas Education Agency. Authority: The Texas Transportation Code (TRC) requires students who have not obtained a high school diploma or its equivalent to be enrolled in a public, charter, home, or private school; GED Program; or Institution of Higher Education and meet specific enrollmentconditions to obtain or renew a license. This requirement applies to persons under 18 years of age. Contacts: Contact local DPS driver license office or DPS Headquarters website: www.txdps.state.tx.us and e-mail: [email protected](512-424-2000) or Texas Education Agency website: www.tea.state.tx.us and e-mail: [email protected] (512-463-9574). Issuing VOE Forms: SEE flow chart for issuance at http://www.tea.state.tx.us/safedriver/voe04.html. The issuance or denial of the VOE form is strictly a local school, charter, GED program, or institution decision. Neither TEA nor DPS can alter a VOE decision. Schools,Charters, GED programs, and institutions of higher education can impose and enforce conditions and restrictions on enrollment andattendance as it pertains to VOE eligibility that exceed minimum restrictions defined by law and rule. It is recommended that schools, charters, GED programs, and institutions of higher education clearly outline all requirements for issuance of the VOE form and establish a formal, published policy to support the requirements. The VOE form does not have to be signed by the student in the presence of the person certifying attendance. The signature of the student can be placed on the form before or as it is presented to DPS. NOTE: Texas Education Code 25.092 (excerpted), Minimum Attendance for Class Credit, states that a student may not be given credit for a class unless the student is in attendance for at least 90 percent of the days the class is offered. The 90 percent attendance rule applies when determining VOE eligibility. Schools can accept decisions of attendance committees when considering VOE eligibility. Summer school does not count as make-up time for attendance purposes unless the attendance committee makes summer school attendance a part of a student’s plan to make up days missed. For students in grades eight and below, absences may be aggregated on the basis of a scholastic year. For students in grades 9-12, absences may be aggregated on the basis of a scholastic semester (traditional, condensed, accelerated,block, etc.). THE STUDENT SHOULD BE CONSIDERED ELIGIBLE FOR THE VOE FORM WHEN 1) the school considers the student currently enrolled at the time the student applied for the VOE forms AND 2) the school awarded a student credit for each class the semester prior to application for the VOE form OR the student was not awarded credit for each class the semester prior to application for the VOE form (academic failure). The school examines attendance records for the semester prior to application for the VOE form and determines that the student was present 90 percent of the time each class was offered OR the student was absent more than 10 percent and did not meet the 90 percent attendance rule for one or more classes the semester prior to application for the VOE form. The school attendance committee and/or administration approve a plan to allow the student to reinstate the credit for all classes. The student complies with the plan and credit for all classes the semester prior to application for the form is reinstated.
A student must meet one of the following requirements to receive the VOE form. The individual certifying attendance verifies onbehalf of the school, program, or institution the following as true and correct by marking the appropriate box and affixing a legal signature to this form.
Public, charter, home, or private schools: The public, charter, home, or private school should mark this box and issue the form to any student who is (1) currently enrolled (2) who met minimum attendance for class credit (90 Percent Rule) in each class they were enrolled in the fall or spring semester immediately preceding the date of application for the form.
GED programs: GED programs mark this box and issue the form to any student who (1) is currently enrolled, (2) has been enrolled in the program for a minimum of 45 calendar days, and (3) is meeting the attendance requirements prescribed by the GED program.
Institutions of higher education: Institutions mark this box and issue the form to students who have not obtained a diploma or its equivalent but are enrolled and attending as prescribed by the institution. Note: Institutions can issue a letter signed by an official of the institution stating that (1) the student is currently enrolled and (2) the student is meeting the institution’s attendance requirementsinstead of issuance of this form.
Typed or Printed Name of Student Date Student Signature
Typed or Printed Name and Title of Administrator/Designee
Area Code & Telephone
Issuance Date / /
Month Day Year
Administrator/Designee Signature
The VOE Forms issued during the school year (traditional, year round, etc.) expire 30 days from issuance. The VOE Forms issued the last 5 days of the school year expire the first day of the following school year.
Schools may personalize and/or develop their own VOE form provided all pertinent information contained on this form is incorporated.THE VOE DOCUMENT IS A GOVERNMENT RECORD AS DEFINED UNDER TEXAS PENAL CODE, 37.01(2). ANY MISREPRESENTATION BY THE APPLICANT OR PERSON ISSUING THE FORM MAY RESULT IN DENIAL OF AN APPLICATION FOR A TEXAS DRIVER’S LICENSE AND/OR CRIMINAL PROSECUTION.
State of Texas County of ______________________
BEHIND THE WHEEL INSTRUCTION - DRIVER EDUCATION AFFIDAVIT (For Class C Provisional Driver License)
(All information on this affidavit, except the signature, must be TYPEWRITTEN or PRINTED in BLACK INK. The signature must be written in BLACK INK.) I, ________________________________________, valid Texas driver license number ______________, hereby certify that the following information (Instructor’s Legal Name) contained in this form is true and correct. I am the instructor of, ____________________________________________, who is at least 16 years of age, (Student’s Legal Name) whose date of birth is ______________, and who has held a Texas learner license or a Texas hardship license for at least six (6) months MM-DD-YYYY) I further certify that: I am the parent, stepparent, foster parent, legal guardian, step-grandparent, or grandparent of the above named student; I have not been convicted of Criminally Negligent Homicide or Driving While Intoxicated; I am not disabled because of mental illness; and I have possessed a valid license for the preceding three years and my license has not been suspended, revoked, or forfeited in the past three years for traffic related violations. I further certify that I have instructed the above named student in the following Texas Department of Public Safety approved course of instruction: (mark only one area of instruction)
7 hours Behind-the-Wheel and 7 hours In-Car Supervised Practice instruction – CONCURRENT with the remainder of the 32 hours of Classroom instruction
7 hours Behind-the-Wheel and 7 hours In-Car Supervised Practice instruction -BLOCK
Title of Texas DPS APPROVED PTDE Training Course used ______________________________________________________ Course Number: ____________ The student’s Texas Learner License # _______________________
I acknowledge that falsely certifying the information contained in this affidavit will subject me to criminal penalties under Texas Transportation Code 521.454.
________________________________ _____________________________ (Signature) (Date) Sworn to and subscribed before me this ____________ day of ____________________________________, 20_________.
______________________________________________________ Notary Public in and for the State of Texas/Authorized Officer
PLEASE NOTE: One affidavit is required for each instructor who actually taught a student in each phase of the course. If there is more than one instructor, this form may be photocopied for use by the other instructor(s). All instructors must accompany the student when applying for a Provisional Driver License. This affidavit must be signed either before a Driver License employee at the Driver License Office or before a Notary Public before coming to the Texas Department of Public Safety Driver License Office. The document(s) must be presented when the student applies for a Provisional Driver License. Definition of a qualified instructor can be found in the instruction packet.
FOR DPS USE ONLY Texas Driver Education Certificate, form DE-964, #_________________________________
DL-90B (Rev. 10/08)
Help for the Teenager Who Wants to Drive102
Form CDD-104 Revised 1/2006
School Name County-District-Campus No. (If Applicable)
Verification of Enrollment and Attendance (VOE) Form Planned Use of Data: To provide documentation of enrollment and attendance status to the Texas Department of Public Safety (DPS) for a student applying for an instruction permit and/or a license to operate a motor vehicle. The student presents the completed form to DPS. DONOT return this form to the Texas Education Agency. Authority: The Texas Transportation Code (TRC) requires students who have not obtained a high school diploma or its equivalent to be enrolled in a public, charter, home, or private school; GED Program; or Institution of Higher Education and meet specific enrollmentconditions to obtain or renew a license. This requirement applies to persons under 18 years of age. Contacts: Contact local DPS driver license office or DPS Headquarters website: www.txdps.state.tx.us and e-mail: [email protected](512-424-2000) or Texas Education Agency website: www.tea.state.tx.us and e-mail: [email protected] (512-463-9574). Issuing VOE Forms: SEE flow chart for issuance at http://www.tea.state.tx.us/safedriver/voe04.html. The issuance or denial of the VOE form is strictly a local school, charter, GED program, or institution decision. Neither TEA nor DPS can alter a VOE decision. Schools,Charters, GED programs, and institutions of higher education can impose and enforce conditions and restrictions on enrollment andattendance as it pertains to VOE eligibility that exceed minimum restrictions defined by law and rule. It is recommended that schools, charters, GED programs, and institutions of higher education clearly outline all requirements for issuance of the VOE form and establish a formal, published policy to support the requirements. The VOE form does not have to be signed by the student in the presence of the person certifying attendance. The signature of the student can be placed on the form before or as it is presented to DPS. NOTE: Texas Education Code 25.092 (excerpted), Minimum Attendance for Class Credit, states that a student may not be given credit for a class unless the student is in attendance for at least 90 percent of the days the class is offered. The 90 percent attendance rule applies when determining VOE eligibility. Schools can accept decisions of attendance committees when considering VOE eligibility. Summer school does not count as make-up time for attendance purposes unless the attendance committee makes summer school attendance a part of a student’s plan to make up days missed. For students in grades eight and below, absences may be aggregated on the basis of a scholastic year. For students in grades 9-12, absences may be aggregated on the basis of a scholastic semester (traditional, condensed, accelerated,block, etc.). THE STUDENT SHOULD BE CONSIDERED ELIGIBLE FOR THE VOE FORM WHEN 1) the school considers the student currently enrolled at the time the student applied for the VOE forms AND 2) the school awarded a student credit for each class the semester prior to application for the VOE form OR the student was not awarded credit for each class the semester prior to application for the VOE form (academic failure). The school examines attendance records for the semester prior to application for the VOE form and determines that the student was present 90 percent of the time each class was offered OR the student was absent more than 10 percent and did not meet the 90 percent attendance rule for one or more classes the semester prior to application for the VOE form. The school attendance committee and/or administration approve a plan to allow the student to reinstate the credit for all classes. The student complies with the plan and credit for all classes the semester prior to application for the form is reinstated.
A student must meet one of the following requirements to receive the VOE form. The individual certifying attendance verifies onbehalf of the school, program, or institution the following as true and correct by marking the appropriate box and affixing a legal signature to this form.
Public, charter, home, or private schools: The public, charter, home, or private school should mark this box and issue the form to any student who is (1) currently enrolled (2) who met minimum attendance for class credit (90 Percent Rule) in each class they were enrolled in the fall or spring semester immediately preceding the date of application for the form.
GED programs: GED programs mark this box and issue the form to any student who (1) is currently enrolled, (2) has been enrolled in the program for a minimum of 45 calendar days, and (3) is meeting the attendance requirements prescribed by the GED program.
Institutions of higher education: Institutions mark this box and issue the form to students who have not obtained a diploma or its equivalent but are enrolled and attending as prescribed by the institution. Note: Institutions can issue a letter signed by an official of the institution stating that (1) the student is currently enrolled and (2) the student is meeting the institution’s attendance requirementsinstead of issuance of this form.
Typed or Printed Name of Student Date Student Signature
Typed or Printed Name and Title of Administrator/Designee
Area Code & Telephone
Issuance Date / /
Month Day Year
Administrator/Designee Signature
The VOE Forms issued during the school year (traditional, year round, etc.) expire 30 days from issuance. The VOE Forms issued the last 5 days of the school year expire the first day of the following school year.
Schools may personalize and/or develop their own VOE form provided all pertinent information contained on this form is incorporated.THE VOE DOCUMENT IS A GOVERNMENT RECORD AS DEFINED UNDER TEXAS PENAL CODE, 37.01(2). ANY MISREPRESENTATION BY THE APPLICANT OR PERSON ISSUING THE FORM MAY RESULT IN DENIAL OF AN APPLICATION FOR A TEXAS DRIVER’S LICENSE AND/OR CRIMINAL PROSECUTION.