Name
*
First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email
*
Are you 18 years of age and properly licensed to operate a motor vehicle?
*
Yes
No
Do you have no more than two (2) chargeable accidents or moving violations in the past three (3) years?
*
Yes
No
Has your driver's license been suspended or revoked within the past five (5) years?
*
Yes
No
Are you reliable, punctual and willing to display a pleasant attitude while executing duties?
*
Yes
No
Have you been convicted, plead guilty or no contest to any of the following crimes: murder; rape or aggravated sexual abuse; kidnapping or hostage taking; assault inflicting serious bodily injury; a federal crime of terrorism; unlawful possession, use, sale, distribution, or manufacture of an explosive device; unlawful possession, use, sale, distribution, or manufacture of a weapon; elder abuse/exploitation; child abuse/neglect; illegal sale or possession of a Schedule I or II controlled substance; or conspiracy to commit any of the aforementioned?
*
Yes
No
In order for your application to be considered, you must email a copy of your driving records to administrator@LetUsDriveNC.com. Do you agree to do so?
*
Yes
No
Message
Please share with us any additional information you deem relevant.
Phone
*
(###)
###
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