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DRIVER APPLICATION

Please try to fill out all fields on this form, to the best of your ability and then submit this form.

After submitting this application, do not forget to also submit a copy of the front and back of your current Drivers License and any other documents.

** Note: If you are going to use your personal vehicle, Please also make a copy of your current Insurance and send that as well.

DEPARTMENT HEAD / SUPERVISOR INFORMATION
Supervisor's Department
Supervisor's Email @seu.edu
Supervisor's Name
Supervisor's Phone (10 digits)
DRIVER INFORMATION
Driver's Full Name
Driver's License Number
DL Expiration Date
SEU ID Number if a student or employee
Driver's License State
Driver's DOB
SEU Role
Driver's Email @seu.edu
SEU Employment Title
What is the reason (Who or what are you planning on transporting)
Student Transportation: Will you transport students?
Select All Vehicle Types SEU Driver Will Operate
ENTER GL ACCOUNT FOR MVR FEE ($11-$30 PER REPORT)
Fund (2 digits)
Program (2 digits)
Campus (4 digits)
Department# (5 digits)
Object Code
BY SIGNING AND DATING THIS DOCUMENT, I, THE DRIVER, ACKNOWLEDGE THE FOLLOWING:

(1) I am providing a copy of my driver's license and granting Southeastern University permission to annually obtain and review my Motor Vehicle Report through a consumer reporting agency. I authorize Southeastern University to examine this report annually for employment screening purposes, to ensure driver qualifications, and to comply with insurance regulations.

(2) I must complete the assigned driver compliance course(s) annually as long as I have driving responsibilities for the university.

(3) The university vehicle I drive, or any vehicle I lease, rent, or borrow, is to be used exclusively for university business within the scope of what is reasonably required during the performance of such business.

(4) I am responsible for reporting any vehicle incidents to the Risk Management Office at (863) 667-5304.

(5) I understand that my name will be added to the SEU Approved Drivers List on SFnet by the Risk Management Office, unless I notify them otherwise.

(6) I acknowledge that if I operate a personal vehicle for university business, I must have personal auto insurance coverage and will adhere to this requirement.

(7) I understand that students are prohibited from operating 15+ passenger vehicles and are uninsured for such vehicles.

(8) I have read and understood the Driver Compliance document on SFnet.

(9) Failure to adhere to all applicable rules, regulations, and policies may result in the revocation of SEU driving privileges.

Driver's Signature
Date