School Bus Driver Application Form
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2DES MOINES CHRISTIAN SCHOOL
Driver Application Form
_____/_____ School Year
DMCS often needs assistance in transporting small groups of students and or employees to field trips, sporting events, or academic
functions. The purpose of this form is to clearly communicate your responsibilities as a driver and to reduce the liability of the school
and volunteer drivers. If you are interested in helping with such needs during the school year, please fill out this form and return it to
the school. A new “Driver Application Form” must be filled out each school year.
You must also turn in (we are happy to make the copies for you):
_______ Copy of driver’s license
_______ Copy of vehicle insurance card (if insurance expires prior to end of school year I will provide a copy of the new card to
school)
I wish to be approved for the following: Check ALL that apply
____ Drive school vehicle, i.e.: Suburban or cube truck without students.
____ Drive school vehicle, i.e. Suburban or cube truck with students.
____ Transport students in a personal
vehicle.
Section I – General Information
Name___________________________________________
Phone: (H)______________________________ (C)_______________________________
Personal Car Model/Year: Car #1___________________________ Car #2_____________________
Number of working seat belts in Car #1__________________ Car #2__________________
Section II – Requirements for Drivers
I certify that for the current school year: Initial each.
____I possess a valid Iowa driver’s license.
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____I will submit to a skills test with the vehicle I am looking to drive.
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____Obtain & sign out vehicle key with Transportation coordinator.
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____Complete a pre/post trip inspection sheet.
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____I will contact my insurance agent to ascertain if there are any liability policy limits or exclusions regarding transporting
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other students or faculty members on a field trip that might affect my ability to meet the qualifications for a driver.
____I will maintain the minimum insurance coverages required by the school for drivers. I understand this requirement is:
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1. $100,000 liability for bodily injury per person
2. $300,000 liability per incident for bodily injury for all vehicle occupants
3. $50,000-$100,000 liability for property damage.
____I understand that in case of any type of accident, injury, or vehicle damage, that the school’s liability insurance policy
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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. (Note: This is the only coverage that most nonprofit organizations can provide because
of the impossibility of their affording or even obtaining primary or direct coverage on the vehicles of drivers.)
____In the event of an accident, moving violation and/report report of reckless driving, I will submit to drug/alcohol testing
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within 24 hours, when requested by the School.
____I will advise the school of any change in information collected through this form including, but not limited to,
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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.
Revised Date: September 2011
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