New Mexico State University
Safety Training                
To register for a Defensive Driving Course (DDC) please complete & submit this form.   Fields with an asterisk (*) are required. Employees must include department and account information unless providing personal payment.

*Name
(first, middle, last)

(name on license)
 
*Department:  
Supervisor: (first & last name - NMSU affiliated employees)
Mail Stop (MSC): Dept. Phone
 
*Department:   fund no. & index no.If none, enter personal
 
*Driver license #
*State of issue
*Address (on license)
*City (on license)
*State (on license)
*Zip Code (on license)
*Country
 
*Email (for contact if class change. If unknown or none, enter 'dont_know')
*Phone
 (for contact if class change)
*Birthday(m/d/y)
 / /
*Please choose one of the following: (Note: additional classes will be added at later date)

 

*Please choose one of the following.

                                                        
 

*Please choose one of the following.


 

Temporary NMSU Permit: NMSU employees can receive a temporary driving permit until the next scheduled class (make that selection below & provide mail stop code). The temporary permit may not be used to chauffeur other employees or students. The temporary will be sent by campus mail within 5 working days of review of driving record. (Note: In order to check driving history, we prefer not to provide temporary permits at EH&S office).

Driving history: For NMSU employees & volunteers, we review driving records before a permit is issued ( NMSU policy). EH&S can check driving records for New Mexico and most states for an additional charge for an additional fee depending on state)  Options 1 & 2 (below) give EH&S permission to check your driving history and charge for the cost. Alternately you can provide your driving history from your state motor vehicle division (Option 3).
 
*Please choose one of the following


 
*Please verify the following (please check website location map and print out reminder)


 

Comments:

You must participate in the entire class to receive a certification of completion. Disruptive individuals may be dismissed from class. Individuals that fail to show without prior notification will forfeit the fee for the class.

In submitting this form you are verifying that the above data is correct and that you are requesting registration for the Defensive Driving Class. You will be notified by email or phone (as listed above) of any class change or cancellation.


  Information for
campus visitors
(map, parking. E-permit)


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