Van Driver Registration
You will need the following documents to complete this: A picture of your drivers license and proof of current insurance.
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What is the name of your insurance company?
*
What ministry will you be driving for?
*
Please Select
Adults
Blessing
Farm
Missions
Facilities
Students
Childrens
Safety
Operations
Comms
AV Tech
Worship
Connections/Hospitality
Ferndale
Blaine
Downtown
Sudden Valley
If multiple please choose the primary ministry.
Drivers License
Browse Files
Drag and drop files here
Choose a file
Please upload a picture of your drivers license so we can run a drivers record check.
Cancel
of
Proof of Insurance
Browse Files
Drag and drop files here
Choose a file
Please upload a picture of your proof of insurance.
Cancel
of
Please sign on the line provided stating that you have read the above all and that the information given is accurate.
Submit
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