Applicants Requirements CDL Training Program App Applicants Requirements: All applicants must be at least 18 years of age. Applicants must have a valid driver’s license from their state of residence (Class C) to be able to acquire the CDL “Class A” license and can only drive in their state of residence (if under the age of 21). All applicants 21 years of age and up must have a valid driver’s license from their state of residence (Class C) to acquire their CDL “Class A” license and can drive across the country. All applicants must be able to pass the United States Department of Transportation Physical Examination and Drug Screen. Each applicant must be able to speak and read the English language with enough proficiency to converse with the public, respond to official inquiries, understand highway traffic signs, and make entries on reports and records. Each applicant must have an acceptable driving record, personal history, and work history. Student Rules & Expectations: Be on time. Class will begin at 8:00 a.m. each day, Monday through Friday. All students must be prepared to arrive at school on time and be ready to participate in daily requirements. Students must keep up with all materials given to them upon acceptance. Instructors will not be responsible for keeping up with their students’ materials. It is important that students keep up with the packet listed for themselves that will track the progress with each ride. Students cannot be left unattended in the vehicle at any time, for any reason, without an instructor being present. Any student found sitting in any vehicles without authorization by an instructor is subject to disciplinary actions and/or possible forfeiture of tuition. No unsafe behavior will be tolerated at all. Instructors has the right to send any student home that displays verbal or physical behavior that’s threatening to Lorac Academy or it’s students. Only upon the approval of the director of Lorac Academy will that student be able to come back to class depending on the severity of the incident. Any hours lost will be the student’s responsibility to make up. No pets on premises When students are not on school premises, students will act accordingly, following all rules and guidelines set forth by Lorac Academy. No unsafe behavior will be tolerated anywhere outside Lorac Academy premises. Students will only park where permitted. All tuitions must be paid in full before successfully completing the 8-week course. No student will graduate until their tuition in fully paid. Lorac Academy will not be responsible for any personal property left unattended on the premises (phone, keys, books, etc.). No weapons on premises. Disciplinary Actions Tardiness will not be tolerated; any student who has been tardy three days or more will have to sign in through an instructor. Absences will not be tolerated. If a student needs to miss a day of school, the student must submit a “time off request” form. If a student misses more than 3 days, that student will be subject to disciplinary actions by the instructor and/or director. Cancelling this Contract A student may cancel this agreement at any time before the commencement of classes and prior to the end of the five-day cooling off period and receive a full refund of the tuition that has been paid by the student. The “NOTICE OF CANCELLATION” to be given by the student shall be in writing and may be delivered by registered mail or in person to an owner, partner or executive officer, agent, or other representative of the school. The cooling-off period begins when the student is given or mailed a signed copy of the completed contract. Contracts canceled after the cooling-off period entitle the school to retain not more than one hundred fifty dollars ($150.00) registration fee and a pro-rated portion of the total contract price based on the number of hours the student attended school. Refunds must be made within 21 days following delivery of the “NOTICE OF CANCELLATION.” This school is licensed by the State of North Carolina, Division of Motor Vehicles. This agreement constitutes the entire contract between Lorac Academy LLC and the student, and any verbal assurances or promises not contained herein shall bind neither Lorac Academy nor the student. I,Name* , have read and agree to the terms listed above.Email* Δ CDL Training Program Application Name* Address* City* State* Zip* Day Phone*Cell Phone* Driver's License #* Expiration Date MM slash DD slash YYYY SS#* Date of Birth* MM slash DD slash YYYY Email* 1. Have you ever been ticketed for any traffic violations in the last five years?* YES NO 2. Have you ever held a driver’s license in another state?* YES NO 3. Is your license blocked (unpaid tickets, suspension), here or in another state?* YES NO 4. Are you physically incapable of driving a motor vehicle?* YES NO 5. Have you been involved in any vehicle motor accident in the past three years? (If yes, please explain)* YES NO Have you been involved in any vehicle motor accident in the past three years? (Please explain)* 6. Have you ever been convicted of a felony? (If yes, please explain)* YES NO Have you ever been convicted of a felony? (Please explain)* 7. Are you currently on probation or parole?* YES NO 8. Are you currently on any medication (not including vitamins)?* YES NO 9. Has your license ever been revoked, denied or suspended?* YES NO 10. Have you ever held a CDL before? Class A or B? (If yes, please indicate which one)* YES NO Have you ever held a CDL before? Class A or B? (Please indicate which one)* 11. Have you ever had a DWI or a DUI? (If yes, please explain)* YES NO Have you ever had a DWI or a DUI? (Explain)* 12. Have you been a student at a truck driving school before?* YES NO 14. Are you currently working?* YES NO 15. What interests you about the trucking industry?* 16. What do you think about a career in over-the-road driving?* 17. How did you hear about this program?* 18. How will you be paying for training?* 19. How soon do you want to start attending class?* List past 3 Years of Employment1. Employer: Address: Phone NumberStart Date: End Date: Reason for Leaving: 2. Employer: Address: Phone NumberStart Date: End Date: Reason for Leaving: 3. Employer: Address: Phone NumberStart Date: End Date: Reason for Leaving: Print Name* Signature* Date* MM slash DD slash YYYY Δ