Application

CORNERSTONE DRIVING INSTITUTE POLICY

I understand this course requires that I complete a minimum of 30 hrs. of classroom instruction and 10 hours of behind the wheel instruction. Students will be evaluated by test scores, quizzes and study guides. These are taken from the Maine Driver's Manual and Responsible Driver textbook (provided by CDI). If a class is missed the student will have to make up the missed classes during the next scheduled courses. Students must complete the course with an 80% passing grade and at 80% on the final permit tests. A $125.00 deposit is required with the application and the balance is to be paid by the starting date of the first class.

REFUND POLICY

The deposit is non-refundable. You may drop the course and receive 100% refund of the balance of the tuition, which does not include the $125.00 deposit. The refund is good up to and including the first class. No refund after the first class. You may return and finish the course at a later date not to exceed 6 months from the date of this application. After this you must reapply and repay the course fee.

RULES AND REGULATIONS

Motor Vehicle Violations:

Students are not permitted by law or class policy to operate a motor vehicle on public roadways, other than in the driver education program. Any violation will result in removal from the program and no refund will be given.

Alcohol and Drugs:

Any student exhibiting the effects of alcohol and/or drugs will be removed from the program and no refund given.

Student Behavior:

Any student who is disruptive and disorderly will be removed from the program and no refunds given.

Personal Hygiene and Dress Code:

Student must be clean and appropriately dressed according to reasonable standards.

Pre-registration is Required :

Parent(s)/guardian(s) and student must attend an open house. (This time will not count against/for class credit).

Student Signature

________________________________Date_____________________________

Parent Signature
________________________________Date______________________________

Cornerstone Driving Institute

Student Application

           Name____________________________________________________________________________
                                          LAST                                   FIRST                                   MIDDLE

Mailing Address____________________________________________________________________
                             STREET                              CITY                    STATE               ZIP

Phone (207)______________________________Social Security Number_____________________

I am the parent or legal guardian of the above applicant and I have the legal right to give permission for him/her to take this course in driver education. I hereby give my permission for my son/daughter to participate in driver education through Cornerstone Driving Institute. I have read and agree to the terms and conditions of this application.

Student's Signature_______________________________Date___________________________

Parent's Signature________________________________Date___________________________

Must attach original birth certificate, a copy of birth certificate and a second form of identification such as a social security car or school ID etcetera The original will be returned to you.

           Please return to : Cornerstone Driving Institute, 71 Hilliard Street, Old Town, Maine 04468

           To pay by check: Make payable to - Cornerstone Driving Institute

          ___________________________________________
        Signature                                             Date
            Amount_____________________________

Home Office:

71 Hilliard Street

Old Town, ME 04468

Classroom:

191 Brunswick Street

Old Town, ME 04468

“Building A Strong Foundation For Our Students' Driving Future”

Student Application