 
YMCA AUTOMOBILE DRIVING RECORD WORKSHEET
YMCA Name: Date Completed:
Driving records for all drivers should be checked as part of the hiring process and on an annual basis thereafter to a written non-discriminating YMCA policy. Please provide the following information regarding driver experience.
Person responsible for managing driving records:
Name Title
2. Total number of power units:
3. Total number of drivers:
4. Total number of MVRS ordered:
5. Number of drivers with type "A" violations (3 years):
6. Number of driver with 3 or more type "B" violations (3 years):
7. Number of drivers aged 24 or younger:
8. Number of drivers aged 50 or older:
Name of person completing this form:
Eligible drivers must:
1. Be at least 18 years old
2. Have an acceptable driving record
3. Have a valid license
4. Be familiar with the vehicles to be used or given instruction prior to driving YMCA vehicles.
5. Have a recent criminal background check on file.
INSURANCE PROGRAM FOR YMCAs • P 800-463-8546 • F 919-462-9727 • www.redwoodsgroup.com
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