Proof of Enrollment
This form requires multiple signatures and as such, we recommend that you plan for the process to take approximately a WEEK.  

Please keep in mind, the proof of enrollment is only good for 30 days, except during the summer months.  That makes planning ahead essential!

Please make your appointment with the Department of Motor Vehicles BEFORE making your request.  As you may or may not know, the DMV has a couple month backlog on all tests.  

HELP YOURSELF:  You do not want to make your request and it be invalid before going to take the test.  If you do not have the form dated appropriately, they will not allow you to test.  

Also, be cautious of typos and incorrect information being entered below.  If it is wrong, they will turn you away and you will not be allowed to test.
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What do you need the Proof of Enrollment for?
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First Name (LEGAL NAME EXACTLY) *
Middle Initial (LEGAL NAME EXACTLY)
Last Name (LEGAL NAME EXACTLY) *
911 STREET ADDRESS (MUST BE EXACT) *
City (Not all will be Elizabeth) *
Zip Code (5 digit number) *
Is your mailing address the SAME as your 911 Address? *
If you answered YES, skip to enter your birthday.  If you answered NO, please enter your MAILING ADDRESS.
Mailing Address City (not all will be Elizabeth)
Mailing Address Zip
Student Date of Birth
MM
/
DD
/
YYYY
DG Teacher Name
Student ID# without the letter (AKA:  Your long lunch number)
Thank you for requesting your proof of enrollment!
Reminder, it does take about a week for us to get your proof of enrollment to you due to the required signatures.    Please be patient, but if it is longer than that, feel free to email the secretary at julie.perdue@k12.wv.us.

GOOD LUCK!
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