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:

Be a current Gordon College student or employee;
Have a valid driver’s license, with at least two years of licensed driving experience;
Have an acceptable motor vehicle record (MVR) based upon the point system (see policy for details); and
Consent to the college requesting a new MVR every two years (students will be responsible for the MVR fee).

PLEASE 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.

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 [email protected].

1. APPLICATION PRE-REQUISITE #1: Current Student or Staff

You must be a current Gordon College student or faculty/staff member.

Please enter your status:

	Student
	Staff Member
	Faculty Member
	None of the above (please contact [email protected] to discuss your options)

2. APPLICATION PRE-REQUISITE #2: Two Years Licensed

You must have a valid driver’s license, with at least TWO YEARS of licensed driving experience.

Have you been a licensed driver (not counting time with a learner's permit) for at least two years?

	Yes
	No

3. 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?

	Yes
	No (you should not complete the application until you have contacted [email protected] to discuss this)
	Unsure (you may either proceed and wait for us to check the MVR, or contact us to determine whether you will qualify)

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

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.

	Yes
	No

5. AUTHORIZED GORDON DRIVER CATEGORY:

NOTE: Qualifying for a higher level category (such as Large Van) will automatically qualify you to drive vehicles in the lower level categories (such as Small Vehicle).

Please choose one of the following four categories

	Large Van Driver
	Minivan Driver
	Small Vehicle (Sedan) Driver

6. YOUR GORDON COLLEGE "USERNAME": First.Last (as it appears in your Gordon email address; e.g. "john.smith")

7. DRIVER'S LICENSE INFORMATION: NAME

Please enter your FULL NAME, exactly as it is written on you driver's license (any errors may delay processing of your application):

8. DRIVER'S LICENSE INFORMATION: STATE

Please enter the STATE that issued your current, valid driver's license:

9. DRIVER'S LICENSE INFORMATION: LICENSE NUMBER

Please CAREFULLY enter your driver's license NUMBER (no spaces, only alpha-numeric characters):

10. DRIVER'S LICENSE INFORMATION: STREET ADDRESS

Please enter your home ADDRESS (street number and street name) from your driver's license:

11. DRIVER'S LICENSE INFORMATION: CITY

Please enter your home CITY from your driver's license:

12. DRIVER'S LICENSE INFORMATION: ZIP CODE

Please enter your home ZIP CODE from your driver's license:

13. DRIVER'S LICENSE INFORMATION: D.O.B.

Please enter your DATE OF BIRTH (MM/DD/YYYY):

14. DRIVER'S LICENSE INFORMATION: ADDRESS CHANGE

Has your permanent address changed from the one listed on your driver's license?

If so, please enter your entire NEW ADDRESS (street, city, state, zip) here:

15. PERSONAL INFORMATION: GORDON ID

Please enter your GORDON COLLEGE ID NUMBER:

16. PERSONAL INFORMATION: EMAIL

Please enter your EMAIL ADDRESS:

17. PERSONAL INFORMATION: CELL PHONE

Please enter your CELL PHONE NUMBER:

18. MVR FEE PAYMENT (Students Only)

Student applicants will be charged a $35 fee to cover the cost of obtaining your motor vehicle record (MVR). By clicking YES 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 proceed to questions #18 and #19.

If you are a faculty or staff member, select STAFF (no fee is required).

	YES -- you may charge the $35 MVR fee to my student account (skip #18 and #19)
	SPONSORED -- I am being sponsored by a department who will pay my fee.
	STAFF -- no payment is required.

19. MVR FEE PAYMENT: SPONSOR CONTACT NAME (skip if you answered YES or STAFF on #17)

PLEASE NOTE: You will be required to obtain and submit the signature of the faculty or staff contact person who has agreed to cover the cost of your MVR fee, along with an account number he/she provides for the fee payment.

Please enter the NAME of the faculty or staff member who has agreed to pay the MVR fee from a departmental account:

20. MVR FEE PAYMENT: SPONSOR DEPARTMENT (skip if you answered YES or STAFF on #17)

Please enter the DEPARTMENT NAME of the department that has agreed to pay the MVR fee from a departmental account:

Leave this blank
Do not change this

INFO VISIT APPLY

Connect with Gordon

Gordon College, 255 Grapevine Road, Wenham, MA 01984
978 867 4000 | [email protected] | [email protected]

Gordon College is New England’s top Christian college, located on the North Shore of Boston in Wenham, MA.

866-665-1780