Volunteer Driver Form

Full Name(Required)

Email Address(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Cell Phone(Required)

Work Phone

Home Phone

Driver License State and #(Required)

Driver License Expiration Date(Required)

Are you licensed to drive a commercial vehicle?(Required)

Have you been in an accident in the last three years?(Required)

Please describe the accident and its cause.(Required)

Have you been ticketed for moving violations within the last three years?(Required)

Please describe the infractions.(Required)

Have you been convicted for DWI/DUI of alcohol or drugs, or had your license suspended for moving violations, hit and run, eluding an officer, reckless or negligent operation of a vehicle, or driving while under suspension or revocation?(Required)

Vehicle(s)

Vehicle Year / Make / Model(Required)

Vehicle License Plate #(Required)

Number of Working Seatbelts in Vehicle(Required)

Do you have a second vehicle you'd like to add?(Required)

Vehicle 2 – Year / Make / Model(Required)

Vehicle 2 – License Plate #(Required)

Number of Working Seatbelts in Vehicle 2(Required)

Insurance(s)

The school requires volunteer drivers to have a minimum amount of liability insurance as follows: (1) $100,000 liability per person for bodily injury; (2) $300,000 liability per incident for bodily injury for all vehicle occupants; (3) $50,000-$100,000 liability for property damage Amount on this (these) cars(s):

Insurance Company(Required)

Policy Number(Required)

Policy Expiration Date(Required)

(1) $(Required)

(2) $(Required)

(3) $(Required)

Does the second vehicle you added have the same insurance policy above?(Required)

Vehicle 2 – Insurance Company(Required)

Policy Number(Required)

Policy Expiration Date(Required)

(1) $(Required)

(2) $(Required)

(3) $(Required)

Uploads

Scanned copy of driver's license(Required)

Max. file size: 512 MB.

Scanned copy of the car insurance policy(ies) declaration page(Required)

Max. file size: 512 MB.

This is NOT the insurance card page (typically the first page in the document) but the first page of the declarations where your liability coverage is displayed.

Vehicle 2 – Scanned copy of the first page of car insurance policy(ies) declaration page(Required)

Max. file size: 512 MB.

Requirements for Drivers

I certify that for the current school year:

• I possess a valid driver’s license.

• I will contact my insurance agent to ascertain if there are any liability policy limits or exclusions regarding transporting other students or faculty members on a field trip that might affect my ability to meet the qualifications for a volunteer driver.

• I will maintain the minimum insurance coverages required by the school for volunteer vehicles for the vehicle(s) listed in Section I and only volunteer to drive when such insurance policies and coverages are in force.

• I understand that in case of any type of accident, injury, or vehicle damage, the school's liability insurance policy does not provide primary or direct insurance on my vehicle. The school's insurance will take effect only after my personal auto insurance limits are exhausted.

• I will advise the school of any change in information provided on this form including, but not limited to, involvement in a car accident in which I am cited, any citations for moving violations, nonrenewal of license, termination of license, change of insurance company, change in amounts of insurance coverage, termination of insurance, or change in vehicle.

• Students riding in my vehicle(s) will be seated and in both the front and back seat will be secured with individual working seatbelts. (No double belting of children is permitted.) As required by state law, I will have a child-restraint seat for each child under age eight (8) or less than 4 feet 9 inches tall. As recommended by the Georgia Governor’s Highway Safety and required by Logos Classical Academy, students will ride in the back seat until they are 13 years old.

• To my knowledge, my vehicle is in safe operating condition (brakes, tires, etc.), and I keep my car regularly maintained.

• I will notify school personnel if l no longer wish to drive or if l wish to be removed from the Approved Driver List.

Electronic Signature

I affirm that I will carefully transport students under my care, including obeying all traffic laws. The information given on this form is true and correct to the best of my knowledge.

All electronic signatures and their related fields are treated by Logos Classical Academy like a physical handwritten signature on a paper form.

Electronic Signature(Required)

Check for electronic driver signature

Driver's Name(Required)

Today's Date(Required)

Today's Date

Volunteer Driver Form

Vehicle(s)

Insurance(s)

Uploads

Requirements for Drivers

Electronic Signature

3203 Washington Rd
Augusta, GA 30907

706-901-7821

E-Newsletter

515 N Belair Rd
Evans, Georgia 30809

706-901-7821

3203 Washington Rd
Augusta, GA 30907

706-901-7821

E-Newsletter