school bus driver refresher training class registration form
school bus driver refresher training class registration form
school bus driver refresher training class registration form
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SCHOOL BUS DRIVER REFRESHER TRAINING CLASSREGISTRATION FORMThis <strong>form</strong> must be completed and faxed to the Regional Office no later than MONDAY, JUNE 18, 2012 - FAX: 815-947-2717Date / Time of Class:Thursday, June 21, 2012 / 7:00 p.m. - 9:00 p.m. (Galena Middle School)Employer Name:Employer Address:City, State, ZipEmployer Phone:Please complete all the in<strong>form</strong>ation for each person attending.EMPLOYEE NAME(Please Print)DRIVER'S LICENSE #DATE OF HIREINITIAL ORREFRESHERTRAINING(I / R)Thursday, June 21, 2012 - Galena
EMPLOYEE NAME(Please Print) DRIVER'S LICENSE #DATE OF HIREINITIAL ORREFRESHERTRAINING(I / R)Thursday, June 21, 2012 - Galena
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