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Character and Fitness Questionnaire
Character and Fitness Questionnaire
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List every state where you have been licensed to drive in the last five (5) years.
You must upload an official original (photocopies will not be accepted) of your driving record from the Department of Motor Vehicles or Public Safety in each jurisdiction where you have been licensed to drive or have resided in the last five (5) years. Driving records must be currently dated (no more than 30 days prior to the date your application is submitted). Driver histories obtained through internet sources will NOT be accepted unless they were obtained directly from the jurisdiction’s Department of Motor Vehicles official website.
NOTE:
If you do not have a driver’s license, state the reason why and upload a copy of your state-issued Identification Card. If your license is or has been restricted for any reason other than eyeglasses or contacts, include an explanation in the box provided below.
State Issued
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Virgin Islands
Washington
West Virginia
Wisconsin
Wyoming
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Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
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Expiration Date
January
February
March
April
May
June
July
August
September
October
November
December
2050
2049
2048
2047
2046
2045
2044
2043
2042
2041
2040
2039
2038
2037
2036
2035
2034
2033
2032
2031
2030
2029
2028
2027
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
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1987
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1985
1984
1983
1982
1981
1980
1979
1978
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1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
1919
1918
1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Driver’s License Number (If no Driver’s License, provide State Issued ID number)
Is/has your driver’s license ever been restricted?
Yes
No
Since attaining the legal driving age, has your license to operate a motor vehicle ever been suspended or revoked?
Yes
No
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