• Image-43
  • Image-42
  • Add Driver/Driving Record Request Form

  • Those adults who regularly drive council-owned vehicles, individuals who receive reimbursement for mileage for their own vehicle, and persons who have driving duties as a part of their volunteer assignment, should complete this form. Individuals must wait for approval after submitting this form before driving.

    This check is valid for one year and will need to be reviewed annually. If for any reason your request is denied, you may submit another request at any time if any of your circumstances listed below have changed.

  • Image-53
  • Approved Driver Requirements

  • As a reminder, the following are required for an approved driver:

    1. No citations for reckless driving or convictions for DUI/DWI during the last THREE (3) years.

    2. If an individual has more than 1 conviction for DUI/DWI, they are permanently restricted from driving for Girl Scouts.

    3. No individual with less than 5 years of driving experience and under the age of 21 will be allowed to transport girls.

    4. Driver's license must be from the state of IL unless driver has lived in IL for less than 90 days.

  •  - -
  •  - -
  • Driver experience information: Answer ALL questions. Use "0" or "N/A" if necessary. Persons not providing driver's experience information cannot be approved to drive.

  • Please do not continue this form. A valid Illinois license is required after 90 days of residency in the state of Illinois. Please return to this form when you have acquired an Illinois driver's license.

  • Please plan to provide an updated Illinois driver's license after 90 days of residency.

  • Please do not continue this form. You must be licensed for and familiar with the type of vehicle to be driven. Please return to this form when the appropriate license is obtained.

  •  - -
  • Please do not continue this form. You must have 5 or more years of driving experience on this type of vehicle. Please return to this form when your experience is 5 or more years.

  • Please do not continue this form. You must have fewer than 3 at-fault accidents in the past three years.

  • Please do not continue this form. You must have fewer than 3 moving violations in the past three years.

  •  - -
  • Temporary licenses will be accepted until their expiration date at which time a new Add Driver/Driving Record Request should be submitted with a copy of your permanent Driver's License uploaded.

  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • Browse Files
    Drag and drop files here
    Choose a file
    Cancelof
  • I warrant the above information is true and accurate to the best of my knowledge. I authorize any investigation of all statements herein and release the above named Girl Scout Council and its agents from liability in connections with any such investigation. I understand that untrue, misleading, or omitted information may result in dismissal, regardless of the time of discovery by the above named Girl Scout Council. Further, I authorize Palmer & Cay to review my Motor Vehicle Report and discuss with the carrier and/or its agents, representatives or MGA as necessary to determine my eligibility as a driver for the Council. I also give permission for the information to be discussed with the Council.

  • Clear
  •  - -
  • Should be Empty: