ELM MOTT, TX 76640
(800)  460-2837
(254)  829-1694

I understand that in completing this qualification form, ATDS is under no obligation to accept me, nor am I under any obligation to ATDS, I agree to furnish all required documents for admission and certify that the information contained in the application for admission is correct.  ATDS adheres to practices and policies of equal opportunity in admissions and employment.

Date *
Today's Date
Name *
Address *
Phone *
include state, class, and expiration date
Birthdate *
Sex *
Are you currently working? *
Do you have a high school diploma or GED? *
May request a copy if applicable
Do you have any careless/reckless driving charges in the past 3 years? *
Have you had any moving violations in the last 3 years? *
Have you had any traffic/vehicle accidents in the last 3 years? *
Have you ever had your driver’s license suspended? *
Have you ever been convicted of DWI or DUI? *
Have you ever had a misdemeanor conviction? *
Have you ever had a felony conviction? *
Have you ever had any alcohol/drug violations? *
Have you ever held a driver’s license from any state other than Texas? *
Have you ever attended McLennan Community College? *

I have read the entire foregoing application, and all answers, statements, and all other matter therein are true in substance and in fact. I also request as abstract copy of my driving record to be forwarded to ATDS at the above address.