CEF of WA Drivers Application fillable 3-6-2025

Child Evangelism Fellowship® of Washington, Inc. Driver Application Form

All CEF of WA staff and volunteers must be designated as an Approved Driver before transporting minors who are not related to the driver to CEF sponsored events. Those driving CEF of WA owned vehicles or towing CEF of WA owned trailers or Story Barns must also be an Approved Driver. Applications must be completed and submitted to the state CEF office, along with a copy of your Driver's License and Proof of Insurance before being approved as a Driver. In addition, you must have a clean driving record.

Please verify you have a clean driving record for the past 7 years by answering the following:

If your answer to any of the above questions is Yes, stop here. You are not able to be an approved driver for CEF of WA. Personal Information

Have you been ticketed as an at-fault driver in an accident within the last seven (7) years?

Have you been ticketed for moving violations of 15 mph or more over the speed limit within the last seven (7) years?

Has your license been revoked or suspended within the last seven (7) years?

Name

Address

Phone

City

State

Zip

Years Driving Experience

Drivers License

Expiration Date

Date

Vehicle Information (for those driving personal vehicle(s)

MakeModel Year

License Plate

of Working Seat Belts

MakeModel Year

License Plate

# of Working Seat Belts

Insurance Information CEF requires volunteer drivers of private vehicles to have a minimum amount of liability insurance. (1) $100,000 liability per person for bodily injury; (2) $200,000 liability per incident for bodily injury for all vehicle occupants; and (3) $50,000 liability for property damage. Please list for all vehicles above. Attach a copy of your policy's declarations page. If each car has a separate policy, attach copies of each.

Insurance Company

Policy

Expiration Date

Date

Bodily Injury Liability Limit

Total Per Accident

Property Damage Liability

Please initial all accurate statements.

I am in good physical and mental health. It is safe for me to drive and neither my driver's license nor my ability to operate a vehicle is limited by any medical, physical, or emotional restriction or condition.I understand that, if approved as a CEF or Volunteer Driver, I have a continuing obligation to advise CEF of any change in information provided on this form including, but not limited to, involvement in a car accident in which I am cited, any citations for moving violations, non-renewal of license, termination of license, change of insurance company, change in amounts of insurance coverage, termination of insurance, or change in vehicle. I will promptly provide this information.

Persons in my vehicle will be seated and secured with individual working seatbelts in both the front and back seats. (No double belting is permitted)

I will comply with all Washington State laws, and the laws of other states in which I travel on a CEF event, with regards to use and security of child restraint seats, lap/shoulder belt seating positions, restrictions on use of booster seats or other safety systems including, but not limited to occupancy and seat facing designations for seats exposed to air bags

I will comply with the CEF Transportation Policy, a copy of which will be provided to me, if my application to be a CEF Driver or Volunteer Driver is accepted.

I will obey all traffic laws and follow the CEF Transportation Policy.

I will maintain the minimum insurance coverage required by CEF

When driving a privately owned vehicle, I understand that in case of any accident, injury, or vehicle damage, CEF's liability insurance policy does not provide primary or direct insurance on my vehicle. CEF's insurance may take effect only after my personal auto insurance limits are exhausted and does not provide any comprehensive or collision coverage on my vehicles. Damage to any private vehicle, including the owner's, is the responsibility of the volunteer driver.

To my knowledge, my vehicle has a current, valid registration and operating license, is in safe operating condition (brakes, tires, etc, complies with all applicable state laws in the state in which it is registered for vehicle inspections, and has a current, valid inspection sticker (if required by state law)

In signing this form I certify that the information given by me on this form is true and correct to the best of my knowledge, and grant CEF permission to obtain a copy of my motor vehicle driving record and to conduct any driver or criminal record check deemed appropriate by CEF. I release CEF and/or its agents and any person or entity, which provides information pursuant to this authorization, from any and all liabilities, claims, or lawsuits in regard to the information obtained from any and all of the above referenced sources used.

Drivers Signature

Date

Vehicle Owners Signature if different

Date

(For CEF use only) Approved for addition to CEF of WA Volunteer Driver List Declined

Approved for addition to CEF Driver List Declined

Date