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Motor Vehicle Use Program Driver Acknowledgement

Before operating a vehicle for Gordon State College business, employees as designated by the Motor Vehicle Use Policy must complete this acknowledgement and print the certificate. The signed certificate will be retained in the Human Resources Office.

By completing this form, I certify that I am qualified to safely operate a vehicle for Gordon State College business. I specifically certify the following:

* Only if conviction would result in more than 10 points accumulated on the driving record