American Leadership Academy Driver's Education Application Please enable JavaScript in your browser to complete this form.Student ID Number *Enter your student ID number as it appears on ALA School RecordsStudent's Name *FirstLastEnter your name as it appears on ALA school records, no nicknames or shortened names Enter Your Birthday *Month/ Date/ YearLearner Permit #Leave Blank if you have not obtained your Learner Permit yet Enter Student's School Email *EmailConfirm EmailHome Address *When did/are you planning to take the classroom portion of Drivers Education? *First SemesterSecond SemesterSummerWho was/is/will be your classroom instructor? *Brian BlackhamHow 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 *FirstLastParent Email *EmailConfirm EmailEnter an email address that is checked regularlyContact Number for Parent *Please include area code + phone number. ex. (801-555-5555)Submit
