Driver Interest Form

Name *

First Name

Last Name

Phone Number *

(###)

###

####

SBU Student Status *

Freshman

Sophomore

Junior

Senior

Graduate Student

Alumni

Non-Student

If you are under 20 years of age, will you be turning 20 this semester? *

Yes

No

Are you willing to drive a rental SUV, rental 12 or 15 passenger van, a personal car, or all?

Check any that you'd be willing to drive

Rental 5 passenger SUV

Rental 7 or 8 passenger SUV

Rental 12 or 15 passenger van

Personal vehicle

Other…

Do you have a valid drivers license? *

Yes, Issued by New York

Yes, Issued by another state

Other

Do you meet the criteria for driving for a university sponsored event? *

You must have had two or fewer total moving violations (speeding ticket or other traffic infraction), or preventable accidents or in the last three years

Yes

No

Do you have a credit card with at least a $400 credit limit? *

Must be a VISA, Mastercard, AMEX or Discover card. The rental cost of the van or SUV, plus insurance costs from Hertz, must go on your personal card. ALL costs are reimbursed in full.

Yes

No

Do you hold your own automobile personal insurance policy (or are listed on a parent/guardians policy) *

This is often a requirement to be approved by the university despite using Hertz insurance for all vans, which usually are not covered by a personal automobile insurance policy or rental car insurance provided by credit cards.

Yes

No

Do you have a AAA membership? *

AAA waives the underage driver fee. If you do not already have a AAA membership and you end up driving a rental vehicle for a trip, the club will purchase a membership for you.

Yes

No

Have you been on a trip with us before? *

Yes

No

Do you live on or off campus? *

On Campus

Off Campus