Am I Eligible to be a Parent-Taught Instructor?

1. What is your relationship to the student?

-- Select an Answer -- Parent or Step-Parent Grandparent or Step-Grandparent Foster Parent Legal Guardian Judge with Jurisdiction Over the Student Individual designated by Parent Individual designated by Legal Guardian Individual designated by Judge with Jurisdiction Over the Student Individual with Power of Attorney Relative Friend Other

2. Are you at least 25 years of age?

-- Select an Answer -- Yes No

3. Have you held a driver’s license for at least seven years?

-- Select an Answer -- Yes No

4. Have you continuously held a valid driver's license for the past three years?

-- Select an Answer -- Yes No

5. Have you ever been convicted of criminally negligent homicide?

-- Select an Answer -- Yes No

6. Have you been convicted of DWI within the past seven years?

-- Select an Answer -- Yes No

7. Has your driver's license been suspended, revoked or forfeited because of traffic violations during the past three years?

-- Select an Answer -- Yes No

8. Have you been involved in two or more accidents have you that were deemed to be your fault in the past three years?

-- Select an Answer -- Yes No

9. Have you had three or more moving violations in the past three years?

-- Select an Answer -- Yes No