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First Name *

Middle Name *

Last Name *

Phone Number *

Date of Birth * +

Email Address *

Address *

City *

State *

Zip Code *

Are you a citizen of the United States? *

YES

Have you ever been convicted of a felony? *

YES

Have you held a CDL Permit Prior? *

YES

When

The commercial driving test is administered in the English language only. This is pur-suant to Federal Motor Carrier Safety Administration regulations §§391.11 (b) (2) and 383.133© (5). What this says is that the federal government has mandated that you must be able to speak, read and write English to get a CDL license.

Please re-type this phrase in the box: "I am able to speak, read and write in English." *

The New Mexico Motor Vehicle Division currently charges the following for CDLs: -Valid for 4 years: $18. -Valid for 8 years: $34. The MVD may charge additional fees for processing your commercial learner's permit. Ask about any additional fees you may need to pay while scheduling your commercial learner's permit appointment. Fees For Getting Your CDL In Texas: -Standard CDL Age 18 to 84 (new or renewal) - $61 (Valid for 5 years) - Standard CDL Age 85 and older (new or renewal) - $26 (expires after 2 years (on your birthday) Replacement CDL or CLP - $11 Do you understand that you are responsible for all fees at the DMV associated with testing for your Class A CDL Permit? *

YES

How did you hear about the CDL program? *

Education

Did you graduate high school or did you receive a GED? *

YES

High School *

Emergency Contact

Full Name *

Relationship *

Phone Number *

Class Program

Select your class *

4- Week Program w/ no permit

3- Week Program w/ permit & no driving experience

2- Week Program w/ permit and 50 hours driving experience

Haz-Mat Training Program

Self-Paced CDL Training

Class Payment

TFH Safety Solutions & Consulting, LLC CDL program is cost of

4-Week at $3,500 plus tax

3-Week at $3,000 plus tax

2-Week at $2,500 plus tax

Which is required by the first day of the class. To reserve your space within the program a seat deposit of $500 plus tax is required before the first day of the program. The seat deposit is included in the total of the course. In addition, you are permitted ONE seat change ONE week before the start date of the course before additional fees are applied. Additional seat changes will result in a fee of $250 plus tax per seat change.

Insufficient payment and bounced checks will incur a an additional fee of $250. If payment should not be delivered at all, TFH Safety Solutions & Consulting, LLC will be entitled to contact a debt collection service. In addition, the following terms and conditions apply: NO REFUNDS. This agreement is binding, and failure to meet its terms will allow TFH Safety Solutions & Consulting, LLC to take certain recourse.

I hereby agree to the payment agreement established by TFH Safety Solutions & Consulting, LLC that the full amount to be paid by the beginning of the first day of the class. *

YES

I hereby agree that if I pay with a credit card there will be a 4% credit card transaction fee added to the total cost of the program. *

YES

How will you be paying for the program? *

Cash

Credit/Debit Card

Business Check/ Cashier's Check

Who is responsible for the payment of your program? *

I agree that if I quit or get fired from the Company that is paying for my CDL School, I will be liable for complete payment. Payment is due to TFH Safety Solutions & Consulting within 7 days of the start of the class. *

YES

N/A ( A company in NOT paying for my program)

Class Date

Program date you wish to enroll in? (If you are not sure of the exact date you can just type the month) *

CDL Training Disclosure

Due to the high volume of testing with the State, we are limited to the spots we are allowed to test. TFH Safety Solutions test's 3 (three) students every Monday and 3 (three) students every Tuesday.

You must hold your Class A CDL Permit for 14 days before you are alowed to skills test.

So to alleviate a back log in testing and to ensure you are in and out of the program in a timely manner it is important that you have all your documentations in place and you attend class everyday.

I acknowledged that I read the statement above and I understand that testing is conducted only on Monday and Tuesday. *

YES

During the CDL program offered by TFH Safety Solutions and Consulting, certain situations arise as to where a student is offered the opportunity to test out at an earlier date, this is often due to a class or individual excelling at a rate higher than average. When this occurs all the instructors and the course administration meet and review the evaluations and decide which students would be best fit for this, if you are offered the opportunity to test early, it is simply an offer, you may choose to decline, however if you take the test and fail, it is on you and it is your responsibility to pay the retest fee $250.00 plus tax.

TFH Safety Solutions and Consulting DOES NOT GUARANTEE ANY OUTCOME OF THE COURSE NOR WILL WE PAY FOR THE RETEST.

I understand that if I am offered the opportunity to test early, it is simply an offer, you may choose to decline, however if you take the test and fail, it is on you and it is your responsibility to pay the retest fee $250.00 plus tax. *

YES

At the end of your program if you are not ready to test or need additional help, you will be required to to pay an additional $65 dollars per hour to remain in class. We will provide all means necessary for your success however the hard work and nerves are up to you. We do not guarantee the outcome of any course offered.

I acknowledged that I read the statement above and agree to the terms mentioned *

YES

Due to the high volume of testing, we are limited to the spots we are allowed to test in. So to alleviate a back log in testing and to ensure you are in and out of the program in a timely manner we ask that before the start of class you go to the motor vehicle deptartment and take the tankers endorsement test and have it added to your permit. By doing this it will allow you to train and drive our tanker truck outside the boundaries of the training facility and to test in that unit if the need arises. Your cooperation is greatly appreciated.

You must have your tanker endorsement no latter than 3 days into the program. ( You have to have your permit 14 days before you are allowed to test)

I acknowledged that I will need to add the tankers endorsement to my CDL Permit *

YES

4- Week Program Only
All 4-Week students will be required to take two (2) drug tests. The first drug test will be a NON-DOT (this is your pre-enrollment drug test). We are unable to give you a DOT drug test until you have your Class A CDL Permit.

Once you have your Permit you will then be required to complete a DOT Drug Test for the "safety sensative position" of driving a commercial vechicle.

Do you agree to take two drug tests? *

YES

N/A (I am not a 4-Week Student)

I hereby consent to submit to a drug or alcohol test and to furnish a sample of my urine, breath, and/or blood for analysis, as shall be determined by TFH Safety Solutions & Consulting, LLC in order to meet with their policy regarding the selection of applicants for training purposes.

I further authorize and give full permission to have to TFH Safety Solutions & Consulting, LLC to send the specimens collected to a laboratory for a screening test for the presence of any prohibited substances under the policy, and for the laboratory or other testing facility to release any and all documentation relating to such test to TFH Safety Solutions and Consulting, LLC.

I understand that it is the current use of illegal drugs or alcohol would prohibit me from being in the CDL Program with TFH Safety Solutions. I have carefully read the foregoing and fully understand its contents. I acknowledge that my signing of this consent and release form is a voluntary act on my part and that I have not been coerced into signing this document by anyone.

For any reason, if you test positive on any Drug or Alcohol test you will be required wait a full 30-day probation period before you are allowed to continue training at TFH Safety Solutions & Consulting, LLC. In addition, you will be required to pay these additional fees.

$125.00 Administrative Laboratory Fee for all positive tests

$250.00 Re-Seat Fee (moving to the next class)

$85.00 Drug and Alcohol Test

The total of $460.00 to be paid to TFH Safety Solutions & Consulting prior to the start of your program.

YES

Disclosure

I hereby agree to the terms, policies, or conditions set forth by any signed agreements made between myself and TFH Safety Solutions & Consulting, LLC. By signing this agreement, all parties agree to the terms as described above. Alterations to this agreement can only be made by both parties and must be placed in writing.

I hereby apply for enrollment at TFH Safety Solutions & Consulting, LLC in the Commercial Driver Training Course I have chosen. A representative has provided me with with option to recive a copy of this enrolment form. By signing this we are in Agreement and any Financial Options or Agreements Accepted by the student.

Would you like a copy of your enrollment form for the CDL training program? *

YES

Student Signature *

clear

Todays Date * +