Citation Petition Form

Authorized Gordon Driver Application
About the Authorized Gordon Driver Application

To drive any Gordon owned, leased or rented vehicle, every driver must become an Authorized Gordon Driver. There are 5 categories of Authorized Gordon Drivers, and each category has specific requirements, as described in the "Authorized Gordon Driver and Transportation Policy" (available at www.gordon.edu/agd). As a prerequisite, applicants must:
1. Be a current Gordon College student or employee;
2. Have a valid driver’s license, with at least two (2) years of licensed driving experience;*
3. Have an acceptable motor vehicle record (MVR) based upon the point system (see policy for details) and provide us with a signed Authorization for Release Form to obtain your MVR;* and
4. Consent to the college requesting a new MVR every two years (students will be responsible for the MVR fee).
If you meet the above requirements, please complete the application below; it is the first step in the process of becoming an Authorized Gordon Driver. If you have any questions, please email us at GCDriver@gordon.edu.

*Note: If you do not have 2 years of licensed driving experience (which means you have had a valid driver's license for 2 years or longer) and/or you have infractions on your motor vehicle record that would preclude you from being authorized (review policy to confirm), you will not be authorized and should not submit an application.
APPLICATION PRE-REQUISITE #1: Current Student or Staff

You must be a current Gordon College student or faculty/staff member.
Please enter your status:*

Current Gordon StudentCurrent Gordon FacultyCurrent Gordon StaffNone of the above (please contact GCDriver@gordon.edu to discuss your options)
APPLICATION PRE-REQUISITE #2: Two Years Licensed Driving Experience

You must have had a valid driver’s license for a minimum of TWO (2) YEARS.
Have you been a licensed driver (not counting time with a learner's permit) for at least two (2) years?*

YesNo
APPLICATION PRE-REQUISITE #3: Acceptable Motor Vehicle Record

You must have an acceptable motor vehicle record (MVR) based upon the point system (see “Point System” in the Authorized Driver and Vehicle Use Policy), and must consent to the college requesting a new MVR every two years (students will be responsible for the MVR fee).
To the best of your knowledge, do you have an acceptable motor vehicle record?*

YesNo (if no, you should not submit an application until you have contacted us to discuss this)Unsure (you may proceed and wait for us to check your MVR, or you may contact us to determine whether you will qualify)
APPLICATION PRE-REQUISITE #4: Authorization for Release of Information

You must have an acceptable motor vehicle record (MVR) based upon the point system (see “Point System” in the Authorized Driver and Vehicle Use Policy), and must consent to the college requesting a new MVR every two years (students will be responsible for the MVR fee).
I understand that as part of the application process, I must submit a signed "Authorization for Release of Information" form, which is available using the link above.*

YesNo
Driver Category (Qualifying for a higher category, such as Large Van, will automatically qualify you to drive vehicles in a lower category (such as Small Vehicle)

Large Van DriverMinivan DriverSmall Vehicle (Sedan) Driver
Your Information
First Name*
Last Name*
Gordon College Username (First.Last)*
Please carefully enter your Gordon username (example: John.Smith) as it appears in your college email address. Do not include "@gordon.edu".
Email (hidden)
Gordon ID Number*
Please enter your college ID number
Cell Phone Number*
Please enter a valid cell phone number.
Driver's License Information

Enter all license information CAREFULLY; errors will cause a delay in obtaining your MVR.
Full Name on Your License*
Enter your FULL NAME exactly as it appears on your driver's license.
State that Issued Driver's License*
Please enter the STATE that issued your current, valid driver's license.
Driver's License Number*
Please CAREFULLY enter your driver's license NUMBER (no spaces; only alpha-numeric characters).
Driver's License Street Address*
Please enter your home ADDRESS (street number and street name) from your driver's license.
Driver's License City*
Please enter your home CITY from your driver's license.
Driver's License Zip Code*
Please enter your home ZIP CODE from your driver's license.
Date of Birth*

MonthDayYear
Date of Birth (must match what is printed on your license).
Driver's License Address Change
If your permanent address has changed from the one listed on your license, please enter your entire new ADDRESS (street, city, state, zip code).
MVR Fee Payment
Student applicants will be charged a $35 fee to cover the cost of obtaining your motor vehicle record (MVR). By clicking STUDENT below, you are authorizing us to charge the $35 fee to your student account.

If you are being sponsored by campus department and they have agreed to pay the fee, select SPONSORED and enter the requested Sponsor Contact Name and Department.

If you are a faculty or staff member, select STAFF (no fee is required).
Select your type for MVR Fee purposes:*

Student (not sponsored)Sponsored Student (complete Sponsor information below)Faculty/Staff
Sponsor Contact Name*
Please enter the full name of the faculty or staff member who has agreed to pay your MVR fee from a departmental account.
Sponsor Department*
Please enter the name of the department (e.g. Athletics, Mailroom, Physical Plant, etc) that has agreed to pay your MVR fee.
Should be Empty:

Authorized Gordon Driver Application

APPLICATION PRE-REQUISITE #1: Current Student or Staff

APPLICATION PRE-REQUISITE #2: Two Years Licensed Driving Experience

APPLICATION PRE-REQUISITE #3: Acceptable Motor Vehicle Record

APPLICATION PRE-REQUISITE #4: Authorization for Release of Information

Your Information

Driver's License Information

MVR Fee Payment