Form Cdts - Driver Education Approval Form - Illinois Driver Services Department
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CDTS
Office of the Secretar y of State
650 ROPPOLO DR.
ELK GROVE VILL., IL 60007
847-437-3953
Driver Ser vices Depar tment
Driver Education Approval Form
This portion to be completed by Driver Training School:
Name and Address of Driver Training School
Student’s Full Name
Last
First
Middle
Street Address
City or Town
ZIP Code
______________________________________________________________________
__________________________
Signature of Student
Date
______________________________________________________________________
__________________________
Signature of Parent/Guardian
Date
Name of Jr./High School
School Address
Phone Number
City or Town
ZIP Code
This portion to be completed by Jr./High School Administration:
Pursuant to Chapter 625 ILCS, Section 6-408.5, the above named student attends this school and has received a passing grade in
at least eight (8) courses during the previous two (2) semesters and is, therefore, eligible for private driving instructions:
c Yes
c No
______________________________________________________________________
__________________________
Signature of Chief School Administrator or Superintendent of High School
Date
(It is recommended that School Administration retain a copy of this form.)
Printed by authority of the State of Illinois - February 2010 - 1 - DSD CDTS 54.3
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