DMV Dash Cam - Video Application
We are currently looking for test takers in all 50 states.  If you will be taking the Behind-the-Wheel test soon, we may choose you to star in one of our upcoming videos.  Accepted students will receive reimbursement for an HD Dash Camera of their choosing.


Sign in to Google to save your progress. Learn more
Possible Camera Choice (you can change later if necessary)
Clear selection
When is your test date? *
MM
/
DD
/
YYYY
Age Group (Minors must provide guardian information) *
Name *
Email *
Cell / Text Number - Optional (Over 18 Adult Only)
Name of Guardian (If Minor)
Email of Guardian (if Minor)
City of Test *
State of Test (two letter abbreviation) *
What Happens Next??
Select applicants will receive an email from jjeichmann@gmail.com with additional instructions.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy