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Driver Education Instructor Application
Attachments
A copy of all of the following documents must
be attached to your Driver Education Instructor Application.
No application will be considered complete or will be processed
until all of the documents are received by the Department.
- A copy of original social security card
(19-122-160b2)
- A certified copy of the applicant's birth
certificate (19-122-160b3)
- A copy of the applicant's driver's license
(19-122-160b4a)
- A copy of the applicant's high school
diploma or equivalent (19-122-160b4b)
- A copy of the applicant's driver education
instructor completion certificate (19-122-160b5)
- An original traffic abstract (19-122-160b5)
- Certificate of commercial general liability
insurance (19-122-160b6)
- A certified or sealed copy of a Hawaii
criminal history record check (19-122-160b7)
- Proof of application for a FBI criminal
history record check as defined in Chapter 19-122, Subchapter 4,
Hawaii Administrative Rules (19-122-160-b7)
- Two 2"x2" photos (19-122-160b11)
- Two Driver Education Instructor Signature
Cards
- State Tax Clearance (19-122-160-b10)
- Classroom Curriculum (if planning to teach
this course) (19-122-250)
- Behind-the-Wheel Curriculum (if planning to
teach this course) (19-122-250)
- Copy of current motor vehicle registration
(19-122-166-1)
- Copy of current motor vehicle safety check
(19-122-166-1)
- Verification of dual brake in
Behind-the-Wheel instruction vehicle (19-122-166-3)
- Verification of instructor's eye mirror
(19-122-166-3)
- Verification of "Student Driver"
sign (19-122-166-4)
- Proof of automobile insurance as described
in 19-122-166-5.
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