Drivers Education Application Form | American Leadership Academy

Student ID Number *

Enter your student ID number as it appears on ALA School Records

Student's Name *

First

Last

Enter your name as it appears on ALA school records, no nicknames or shortened names

Enter Your Birthday *

Month/ Date/ Year

Learner Permit #

Leave Blank if you have not obtained your Learner Permit yet

Enter Student's School Email *

Confirm Email

Home Address *

When did/are you planning to take the classroom portion of Drivers Education? *

Who was/is/will be your classroom instructor? *

How many hours of driving have you completed your parent or guardian? *

Utah requires 40 hours of parent driving training to get a Drivers License

Parent Name *

First

Last

Parent Email *

Confirm Email

Enter an email address that is checked regularly

Contact Number for Parent *

Please include area code + phone number. ex. (801-555-5555)

American Leadership Academy Driver's Education Application