Each original and renewal certificate application for the approved driver safety course shall contain the following:
The legal name, current address and telephone number of the school's headquarters in Nebraska.
The name, title, current work address and telephone number of the school's contact person with the Department.
The name, date of birth, driver's license number and home address of all instructors.
Proof of completion of any state-approved driver education endorsement or the equivalent from a Nebraska-approved college or university, as set forth in 004 and 005 above. Such proof will be a driver's education endorsement from the issuing state, or a letter, grade transcript, or certificate from a Nebraska-approved college or university. If the school is offering any competency-based education, proof that those classes are taught by competency certified instructors.
The curriculum of the approved driver safety course that the school will be teaching.
The dates, times and locations of the scheduled approved driver safety courses and the respective instructor that will teach each course. Any competency-based courses must be noted.
The location and a written description of each approved driver safety course test route that will be used for the administration of the drive test.
A list of all motor vehicles used for the approved driver safety course.
Valid insurance certificate or insurance policy detailing the coverage for the school listing all motor vehicles used for the approved driver safety course.
Signature of the approved driver safety course school representative certifying that the information included in the application is true and accurate. An individual applicant, partner, associate, corporate director, officer or manager of a commercial driver training school or a public school superintendent or principal may sign as school representative.
Any other information deemed necessary by the Department.
In addition to the above information, each approved driver safety course original and renewal certificate application shall be accompanied by a one-hundred dollar ($100) fee.
247 Neb. Admin. Code, ch. 11, § 007