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Funding Approved Student Intake Form

Congratulations on taking the next steps towards obtaining one of the most impactful tools a person can have: a driver’s license! Independence and enhanced empowerment await you as the rewards for your dedication and efforts in training. Please submit the form below to start the process of getting assigned to an instructor.

After completing this intake form, you will be sent an email listing 3 tasks you must complete before we can assign you to a driving instructor.


1. Read and sign our Driving Student Accountability Contract. This will come from DocuSign and explains our cancellation policy requirements and other expectations of our students.

2. Watch a few short driving videos to prepare yourself better for your first lesson.  Then complete our brief 10-question practice test after watching the videos. 

3. Send us a picture of your learners permit.

Contact Info

Address of Residence

General Info

Date of Birth
Gender
English Proficiency Level
Are you currently working or going to school?
Would you look for a better job after gaining your license?

Driver's License Info

Do you have an active Minnesota Learners permit?
Yes
No
Permit Expiration Date
Have you taken the driving (skills) test before, if so how many times have you tested?
Previous driving experience
Did you have a driver's license in your home country?
Yes
No
No, but I drove some anyway
Days or times you are available to drive? (the more open times you have, the more ability we have to schedule):
Weekday Mornings (8-12NN)
Weekday Afternoons (12-5PM)
Weekday Evenings (5-8PM)
Weekends

Tell Us Your Story

How did you get connected to Change Drivers?
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