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DRIVER EDUCATION RECORD CARD SAMPLE FORMAT -- Distributed by ISBE for LEA discretionary use only. May be modified and/or copied to meet LEA specific Driver Education recordkeeping needs. Do not return to ISBE. High School STUDENT S LAST NAME TYPE OF INSTRUCTION 1 Simulator 2 On-Street BTW SCHOOL CODE NUMBER STUDENT S FIRST NAME MIDDLE I. TELEPHONE Include Area Code STUDENT S INSTRUCTION PERMIT NUMBER BIRTHDATE / 1 Male 2 Female SEX CLASSROOM INSTRUCTION COMPLETED PASS/FAIL CLASSROOM TEACHER S...
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