WCIP: Student Commercial Driving Registration Form

Please complete all of the *required fields in the below form in its entirety. Required documents should also be submitted with this form. SUNY Canton has partnered with the Workforce Development Institute, St. Lawrence County Career Centers, and St. Lawrence County IDA, for program development and possible training funds.

Once your application is received, we will call you to confirm your Social Security Number. We are required by the NYS Department of Labor to collect this data and will collect it over the phone to ensure security.

If you have any questions, please contact us at wcip@canton.edu.

First Name*

Middle Name

Last Name*

Birthdate*

Mailing Address*

Country

Street

City

Region

Postal Code

Phone Number*

Email Address*

What CDL Class are you seeking?*

Veteran Status

Is financial assistance needed?*

Funding Agency

Driver's License (Class D) Number* (Please upload both the front and back of your license.)

Proficient in shifting a manual transmission?*

CDL Learner's Permit*

Please attach CDL Learner's Permit in PDF format here.

Please attach Driver's Abstract in PDF format here.

Please attach Physical Results in PDF format here.

Are you currently on any medication that can inhibit your driving?*

Is there any known reason, such as criminal history, etc., you would be denied a commercial driver's license?*

Where did you learn about this program?*

Admitted Students

Pay Your Deposit

Open House

Request Information

One-Hop Shop

Departments

WCIP: Student Commercial Driving Registration Form