SUBTITLE A: EDUCATION
CHAPTER I: STATE BOARD OF EDUCATION
SUBCHAPTER g: SPECIAL COURSES OF STUDY
PART 252 DRIVER EDUCATION
SECTION 252.APPENDIX A DRIVER EDUCATION - COMMERCIAL DRIVER TRAINING SCHOOL CONTRACT REPORTING FORM
Section 252.APPENDIX A Driver Education − Commercial Driver Training School Contract Reporting Form
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100 North First Street, E-320 Springfield, Illinois 62777-0001 |
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DRIVER EDUCATION − COMMERCIAL DRIVER TRAINING SCHOOL CONTRACT REPORTING FORM |
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FUNDING AND DISBURSEMENTS DIVISION |
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1. REGION, COUNTY, DISTRICT, TYPE CODE |
8. IL SEC OF STATE LICENSED COMMERCIAL School Classroom Only Behind-the-Wheel Only Both |
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2. DISTRICT NAME |
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3. DISTRICT ADDRESS (Street, City, State, Zip Code) |
9. NAME OF COMMERCIAL DRIVER TRAINING SCHOOL |
ISOS LICENSE NUMBER |
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4. SCHOOL YEAR New Renewal |
10. TRAINING SCHOOL ADDRESS (Street, City, State, Zip Code) |
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5. CONTRACT DATE WITH COMMERCIAL DRIVER TRAINING SCHOOL (mm/dd/yyyy) |
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11. NAME OF COMMERCIAL DRIVER TRAINING SCHOOL INSTRUCTOR |
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6. PUBLIC HEARING DATE (mm/dd/yyyy)
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12. ISBE ILLINOIS EDUCATOR IDENTIFICATION NUMBER |
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7. DISTRICT WEBSITE ADDRESS |
13. DATE OF BIRTH (mm/dd/yyyy) |
14. DRIVER LICENSE NUMBER |
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Name of District Superintendent (Print or Type) |
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Date |
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Original Signature of District Superintendent |
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(Source: Added at 42 Ill. Reg. 8946, effective May 16, 2018)