V. Insurance: The school, school district, college, or BOCES seeking approval on this form assures that all vehicles used in the delivery of this DTSE course will be properly insured, inspected and labeled according to Section VII, 1-6 of the 2015 DTSE Guidelines. VI. MV-283 card holders: MV-283 card holders may teach classroom/lecture, behind the wheel (BTW), simulation, range, and observation. Your program(s) classroom/lecture teacher(s) must hold a valid MV-283 card AND be a direct employee of your program. If teaching in a public school, the classroom/lecture teacher must hold a valid NYS classroom teaching certificate for grades K-12 or 7-12. Input OSPRA Drop/ Classroom/ Into Criminal Add/ School History Name Lecture MV-283 Card # Update LENS Check Teacher & Exp Date (or P for Drivers License # Account Y, N, or G (D/A/U) Y or N permanent) & Exp Date * (Y or N) (grandfathered) Please submit a clear copy of each MV-283 and New York State K-12 or 7-12 Note: listed individual’s card, drivers’ license classroom teaching certificate (non-public schools excluded), and screen shot of your LENS account along with this program’s application. Programs listing out-of-state drivers must include the (no copies, Web print outs, or unofficial facsimiles) Note: driver’s “official” driving abstract within 30 days, which must also be amended via form DE-1A prior to each semester the DTSE course is taught. VII. MV-524 card holders: May teach behind the wheel and observation, must be a valid MV-524 card holder and have completed the 30 Hour Basic Instructor’s Course. Completed Input OSPRA Drop/ the 30 Hour Into Criminal Add/ Basic School History Name Update LENS Instructor’s Check Drivers License # MV-524 Card # Course Account (D/A/U) Y, N, or G & Exp Date * & Exp Date (Y or N) (Y or N) (grandfathered)
V. Insurance: The school, school district, college, or BOCES seeking approval on this form assures that all vehicles used in the delivery of this DTSE course will be properly insured, inspected and labeled according to Section VII, 1-6 of the 2015 DTSE Guidelines. VI. MV-283 card holders: MV-283 card holders may teach classroom/lecture, behind the wheel (BTW), simulation, range, and observation. Your program(s) classroom/lecture teacher(s) must hold a valid MV-283 card AND be a direct employee of your program. If teaching in a public school, the classroom/lecture teacher must hold a valid NYS classroom teaching certificate for grades K-12 or 7-12. Name Drop/ Add/ Update (D/A/U) Classroom/ Lecture Teacher Y or N MV-283 Card # & Exp Date (or P for permanent) Drivers License # & Exp Date * Input Into School LENS Account (Y or N) OSPRA Criminal History Check Y, N, or G (grandfathered) Note: Please submit a clear copy of each listed individual’s MV-283 card, drivers’ license and New York State K-12 or 7-12 classroom teaching certificate (non-public schools excluded), and screen shot of your program’s LENS account along with this application. Note: Programs listing out-of-state drivers must include the driver’s “official” (no copies, Web print outs, or unofficial facsimiles) driving abstract within 30 days, which must also be amended via form DE-1A prior to each semester the DTSE course is taught. VII. MV-524 card holders: May teach behind the wheel and observation, must be a valid MV-524 card holder and have completed the 30 Hour Basic Instructor’s Course. Name Drop/ Add/ Update (D/A/U) Drivers License # & Exp Date * MV-524 Card # & Exp Date Completed the 30 Hour Basic Instructor’s Course (Y or N) Input Into School LENS Account (Y or N) OSPRA Criminal History Check Y, N, or G (grandfathered)
FormDE-1AFall2018.docx