Student Evaluation

Name *

First

Last

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Phone *

DOB *

Address *

Address Line 1

City

State

Zip Code

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Permit/Lic# *

Issued *

Expired *

Upload Picture of permit or License

Click or drag files to this area to upload. You can upload up to 3 files.

Back And Front

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Obtain Permit *

Date *

Getting The Feel *

Date *

Road Rules/Local Driving *

Date *

Hwy Driving/Road Test Material *

Date *

Please Rate the student *

	Needs Work	Okay	Good
Turns	Needs WorkTurns Needs Work	OkayTurns Okay	GoodTurns Good
Lane Changing	Needs WorkLane Changing Needs Work	OkayLane Changing Okay	GoodLane Changing Good
Braking	Needs WorkBraking Needs Work	OkayBraking Okay	GoodBraking Good
Accelerating	Needs WorkAccelerating Needs Work	OkayAccelerating Okay	GoodAccelerating Good
4 concepts of the light	Needs Work4 concepts of the light Needs Work	Okay4 concepts of the light Okay	Good4 concepts of the light Good
Traffic Check	Needs WorkTraffic Check Needs Work	OkayTraffic Check Okay	GoodTraffic Check Good
Merging/acceleration lane	Needs WorkMerging/acceleration lane Needs Work	OkayMerging/acceleration lane Okay	GoodMerging/acceleration lane Good
Road test material	Needs WorkRoad test material Needs Work	OkayRoad test material Okay	GoodRoad test material Good

Date: *

Signature of Student *

Signature of Instructor *