Enter all traffic summons, citations, or tickets you have received since you have been driving. This includes as a juvenile and/or adult. You must include any offense that was reduced, dismissed, and/or reclassified to a civil offense. Do NOT include parking tickets. IF YOU HAVE NEVER RECEIVED A TRAFFIC SUMMONS, CITATION OR HAVE NEVER TICKET, WRITE “I RECEIVED A TRAFFIC SUMMONS, CITATION OR THE CHART. Begin with your most recent summons. TICKET” ACROSS Offense Offense City & Initial Charge(s) at time of Final Charge Disposition Date State Offense If convicted, the final charge Pled guilty, found guilty, found not- If charge is speeding, include (plea-bargained/reduced) guilty, dismissed, pre-paid or miles over limit. complied. You may note if the conviction was reclassified to a in this column. “civil” violation Applicant Initials Page 6 of 22 Word Doc - Revised February 2019 5. EMPLOYMENT HISTORY
Enter all traffic summons, citations, or tickets you have received since you have been driving. This includes as a juvenile and/or adult. You must include any offense that was reduced, dismissed, and/or reclassified to a civil offense. Do NOT include parking tickets. IF YOU HAVE NEVER RECEIVED A TRAFFIC SUMMONS, CITATION OR TICKET, WRITE “I HAVE NEVER RECEIVED A TRAFFIC SUMMONS, CITATION OR TICKET” ACROSS THE CHART. Begin with your most recent summons. Offense Date Offense City & State Initial Charge(s) at time of Offense If charge is speeding, include miles over limit. Final Charge If convicted, the final charge (plea-bargained/reduced) Disposition Pled guilty, found guilty, found not- guilty, dismissed, pre-paid or complied. You may note if the conviction was reclassified to a “civil” violation in this column. Applicant Initials Page 6 of 22 Word Doc - Revised February 2019 5. EMPLOYMENT HISTORY
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