ACE Face Sheet

1
Name* This field is required.Please do not use all caps
First Name
Last Name
2
Driver's License Number* This field is required.
3
Birthday* This field is required.
Date
Month
Day
Year
4
Phone Number* This field is required.
Area Code
Phone Number
5
Email* This field is required.
example@example.com
6
Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
7
Which course are you applying for?
CDL Class A
CDL Class B
CDL Evening Class A
CDL Automatic and/or Air Brakes Restriction Removal
ELDT THEORY and/or HAZMAT
TANKER
DOUBLES AND TRIPLES
8
Please Upload Front of Driver's License
9
Please Upload Back of Driver's License
10
Do you have your CDL permit?* This field is required.
YESNO
11
Are you a United States citizen?* This field is required.
YESNO
12
Have You completed Entry Level Driver's Training Theory?* This field is required.
YESNO
13
Do you have a valid DOT Physical?* This field is required.
YESNO
14
Please select which Monday you are requesting first day orientation * This field is required.We will do our best to schedule you on your desired date, but it's based off of availability. If your desired date is unavailable a staff member will contact you.
Date
Year
Month
Day
15
Do you have your valid Class C license?* This field is required.
YESNO
16
Do you have any restrictions on your driver's license?* This field is required.
YESNO
17
If you answered yes to the question above, what restriction do you have on your license? If no restriction, please put NA.* This field is required.
18
Do you have ALL of the following that are required for the DPS:* This field is required.-Physical Original or Certified copy of your Birth Certificate -Physical Social Security Card -Two Proofs of Texas Residency in your name
YESNO
19
What Type of transmission do you prefer for training?If you test in an automatic transmission, you will receive a restriction on your license which allows you to only drive Automatic commercial vehicles.
ManualAutomatic
20
Have you ever driven a manual transmission before?* This field is required.
YESNO
21
Do you have any CDL, trailer backing, or heavy equipment experience? * This field is required.
YESNO
22
Do you have any unpaid tickets, DPS fees, or unpaid child support?* This field is required.
YESNO
23
I will follow the curriculum and schedule on when to complete the online portal so I can be prepared for my Permit Test. I understand that after 3 attempts of testing additional fees could occur. I also understand that a $50 fee can occur if I need ACE to reschedule any appointments.* This field is required.Please initial here
24
I understand that it is possible to be waitlisted for week 2 due to class availability and that it is scheduled by first application to be paid and when permit is successfully obtained.* This field is required.Please initial here
25
I understand that I am given a maximum of 2 weeks to complete week 1 of training (PERMIT PORTAL AND ELDT THEORY). If I am unable to complete week 1 of training, it is the school's discretion whether to drop or require additional charges.* This field is required.Please initial here
26
I understand that in the event I need to withdraw from the program I am required to complete the "Student Cancellation Request" form and email to makaylab@advancecareeredu.com and my refund will be determined by the amount of time in the program and is subject to a $150 administration fee.* This field is required.Please initial here
27
I understand, that in the final week. I am graded on all modules required for your ELDT ROAD requirements. If my score at the end of the final week is not 80% or above, I will need additional training. * This field is required.Please initial here
28
I understand that ACE reserves the right to cancel any appointments made by ACE.* This field is required.Please initial here
29
I understand that ACE will provide Third Party Road test and the DPS reserves the right to request that I retest at the DPS if needed. * This field is required.Please initial here
30
I may be dismissed from the program due to poor attendance, damage to equipment, failure or refusal on drug test, or disciplinary action.* This field is required.Please initial here
31
How did you hear about us?
Huge
Large
Normal
Small
Ok
Ok
32
If You are going through a company, city or county, please list what the name is. If you are a cash or financed student, put NA. * This field is required.
33
Advance Career Education LLC Catalog* This field is required.Our catalog has all school policies and procedures, Attendence, disciplinary action, refunds etc. etc.
34
Sign here * This field is required.All info above is true and correct
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