Driving Safety for Carts and Vehicles Training

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1.	Name (first and last)*

2.	Today's Date*
	mm/dd/yyyy

3.	Email Address*

4.	Campus Phone Extension

5.	Please choose one*

6.	I have viewed the Driving Safety for Carts and Vehicles presentation on the Protection Services website and understand the information contained therein.*

7.	I understand that I must also submit my driver’s license to Protection Services, have a motor vehicle report completed and set up a hands on training by Protection Services.*