PDI - Professional Drivers Institute
Call Today! - 1.800.222.1782

Pre-Application
 
 

Thank you for taking a few moments to answer our questions.
Please fill out all fields in this pre-application as this will help us to guide you in the future. Upon submission of this form, one of our representatives will contact you.

 
Full Name:
Email:
Phone:
 
Street Address:
City:
State:
Zip Code:
 
         
Are you currently employed? Yes No
(If not, you may qualify for financial assistance through a Michigan state program).
 
Any drug or alcohol charges? Yes No

If Yes, When?

 
Any license suspensions? Yes No

If Yes, When?

 
Have you had any traffic violations in the last three years ? Yes No
This does not necessarily mean you can't go to school

If Yes, What was it?

     
Comments or request for specific information:
     
     
 
 
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