An application for instructor certification shall include the following information about the applicant. The application form appears as Attachment 2 to these rules and regulations and may be accompanied by additional documents. The written application may be submitted by an individual or as part of a provider's application for certification of a program. The application shall require the name, home address, date of birth, and driver's license number of the applicant. The applicant shall:
If an application for instructor certification is approved the Department shall issue a certificate which shall be non-expiring so long as the certified instructor remains in compliance with these regulations.
An instructor's certification may be cancelled upon the instructor's request or by agreement of the instructor and the Department.
The application shall state that the applicant for instructor certification agrees to notify the provider immediately if he or she receives any citation or conviction for violation of any motor vehicle related law of this state or any other jurisdiction.
If the applicant for instructor certification is not a resident of Nebraska, the application for instructor certification shall include a separate notarized waiver signed by the applicant for instructor certification document, which waives the instructor's privacy and will allow another jurisdiction to transmit the applicant's driver license record to the State of Nebraska.
The application for instructor certification shall be signed by the person who is applying for instructor certification.
250 Neb. Admin. Code, ch. 3, § 006