Fillable Printable School Bus Driver Applicant Affidavit
Fillable Printable School Bus Driver Applicant Affidavit
School Bus Driver Applicant Affidavit
SCHOOL BUS DRIVER APPLICANT AFFIDAVIT
STATE OF MINNESOTA
COUNTY OF
]
] SS.
]
I, ,
Applicant’s full name date of birth
Having been duly sworn, state under oath that I have not been convicted of any felony offense, any controlled
substance offense, any criminal sexual conduct offense, and surreptitious intrusion offense, any indecent exposure
offense, any driving while under the influence offense, and/or four of more moving traffic violations within the
past three years, in Minnesota or any other state.
I further state that I have re sided in the state(s) of
In the past five (5) years prior to the date of this affidavit.
I do swear under penalty of perjury.
Affiant
Subscribed and sworn to before
me this day of , 20
Notary Public
CONTRACTOR/SCHOOL DISTRICT SCHOOL BUS DRIVER APPLICANT AFFIDAVIT
STATE OF MINNESOTA
COUNTY OF
]
] SS.
]
I, ,
individual name title
company name/school district
having been duly sworn, state under oath that
I have caused to be conducted a criminal records check by
name of source
with respect to ,
name date of birth
Based on that check, it is my belief that this individual has not been convicted of any felony offense, any
controlled substance offense, any criminal sexual conduct offense, and surreptitious intrusion offense, any indecent
exposure offense, any driving while under the influence offense, and/or four of more moving traffic violations
within the past three years, in Minnesota or any other state in which the driver resided in the past five (5) years
prior to the date of this affidavit.
I do swear under penalty of perjury.
Affiant
Subscribed and sworn to before
me this day of , 20
Notary Public
Driver Applicant: Present the original or a
photocopy of this affidavit to the examiner
before you apply for the school bus
endorsement. Your employer must retain
the original in your driver file.
