PTED RIDERCOACH APPRENTICE PROGRAM APPLICATION PART A. APPRENTICE DATA ____________________________________________ First Name (Proper) MI Last Name _______________________________________ Common First Name ____________________________________________ Street Address ______________ Apartment _______________________________ ___________ City State Zip Code County _____________________________ _________ Driver License # State ____________________________________________ Employer ____________.
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How to fill out the FL HSMV 77058 online
Filling out the FL HSMV 77058 form online is an important process for individuals aspiring to join the RiderCoach Apprentice Program. This guide provides clear and detailed instructions to help users complete the application efficiently and accurately.
Follow the steps to complete your application with ease.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin with Part A, where you will enter your apprentice data. Fill in your first name, middle initial, and last name. Include a common first name if applicable, followed by your street address, apartment number (if any), city, state, zip code, and county.
- Move on to Part B. Indicate whether you currently own or operate a motorcycle and if you possess a motorcycle endorsement. State the number of years you have been riding and estimate your annual mileage. Also, provide the date when you completed the Basic RiderCourse (BRC).
- In Part C, answer questions regarding your driving record and any health issues. You will need to specify if your driver's license has ever been suspended or revoked, if you have been convicted of a DUI, and if you have any medical conditions that may limit your coaching ability. Use a separate sheet to explain if you answer 'yes' to any question.
- Proceed to Part D, where you will need to acknowledge the items that must be provided by the RiderCoach Apprentice or sponsor, such as a driver's license record check, the completed original application, and a copy of the most recent Basic RiderCourse completion card.
- In Part E, review the RiderCoach Apprentice Agreement and signature section. Sign and date the application while ensuring that you understand the conditions of acceptance into the program.
- Lastly, complete Part F by obtaining the sponsor or administrator's agreement and signature, ensuring their printed name, phone number, and email address are included.
- After filling in all sections and confirming the accuracy of your information, save the changes. You may then download, print, or share the completed form as necessary.
Start completing your FL HSMV 77058 application online today!
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HSMV 77058 (Revised 08/10 ). Page 1 of 2. Cell Phone: Work Phone: FL. FL. Page 2. Contact...
(c) Fill out the RiderCoach Apprentice Program Application (RCAP), HSMV Form 77058...
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