DRIVER EDUCATION RECORD CARD - High School - ISBE 34-06

Oct 10, 2026

Uploaded by Logic

Driver Education Record Card - High School provides a structured template for tracking student information, instructional permits, and completion outcomes across classroom and laboratory components. It includes fields for student identifiers, contact details, permit and birth data, teacher license and signatures, and pass/fail status. The card further records classroom session size, weekly structure, total hours, and final grade, plus laboratory car type and instruction method details with dated progress logs and observational sign-off.

LanguageEnglish

CategoryExam

FormatPDF

Pages1

Reading Time3 min

AccessFree to download

Driver Education Record Card

Student Information

Classroom Instruction

Laboratory Instruction

Comments and Claims

Laboratory Instruction Log

Use your "Mouse" or "Tab" key to move through the fields and check boxes. After completing last field, save document to hard drive to make future updates or click print button. SAMPLE FORMAT--Distributed by ISBEfor LEA discretionary use only. May be modified and/or copied to meet LEA specific Driver Education recordkeeping needs. Do not return to ISBE. DRIVER EDUCATION RECORD CARD High School | STUDENT'S LAST NAME | SCHOOL CODE NUMBER | | | --- | --- | --- | | STUDENT'S FIRST NAME MIDDLE I. | SOCIAL SECURITY NUMBER | | | STUDENT'S ADDRESS (Street, City, State, Zip Code) | TELEPHONE (Include Area Code) | | | STUDENT'S INSTRUCTION PERMIT NUMBER | BIRTHDATE | SEX | | DATE CLASSROOM INSTRUCTION COMPLETED | PASS/FAIL | SCHOOL CODE NUMBER | | CLASSROOM TEACHER'S LICENSE NUMBER | CLASSROOM TEACHER'S SIGNATURE | | | DATE LABORATORY INSTRUCTION COMPLETED | PASS/FAIL | SCHOOL CODE NUMBER | | LABORATORY TEACHER'S LICENSE NUMBER | LABORATORY TEACHER'S SIGNATURE | | CLASSROOM | CLASS SIZE | PERIOD LENGTH (Min. ) | NUMBER OF WEEKS | TOTAL HOURS | FINAL GRADE | | --- | --- | --- | --- | --- | | | | | | | LABORATORY | STUDENT INSTRUCTION PERMIT | | | | TYPE OF CAR | | NUMBER IN CAR | | --- | --- | --- | --- | --- | --- | --- | | Date Issued | | Date Expires | | Automatic | Standard | | | METHOD OF INSTRUCTION | | | PERIOD LENGTH
(Minutes) | NUMBER OF
LESSONS | NUMBER OF
WEEKS | TOTAL CLOCK
HOURS | | Simulator | | | | | | | | Multiple-Car Facility | BTW | | | | | | | | OBS | | | | | | | On-Street Driving | BTW | | | | | | | | OBS | | | | | | COMMENTS | NAME OF PARENT OR GUARDIAN (Indicate which) | TELEPHONE (Include Area Code) | | --- | --- | | EMAIL | | | DATE CLASSROOM CLAIMED | DATE LABORATORY CLAIMED | ISBE 34-06 (4/22) | LABORATORY INSTRUCTION | | --- | | NAME OF STUDENT | TYPE OF INSTRUCTION 1 = Simulator 3 = On-Street (OBS) 5 = Multi-Car Facility (OBS) 2 = On-Street (BTW) 4 = Multi-Car Facility (BTW) | DATE | TYPE OF
INSTRUCTION | TIME
(Minutes) | LESSONS | STUDENT PROGRESS | OBSERVER'S
SIGNATURE | | --- | --- | --- | --- | --- | --- | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | TOTAL HOURS OF INSTRUCTION | CODE 1 | CODE 2 | CODE 3 | CODE 4 | CODE 5 | | --- | --- | --- | --- | --- | --- |

FAQs

What student and enrollment details are required on the Driver Education Record Card?

The card collects student names, address, school code number, social security number, telephone, instruction permit number, birthdate, and sex, along with dates and teacher authorization fields.

How are classroom and laboratory instruction outcomes recorded?

Classroom and laboratory sections include fields for completion dates and pass/fail results, plus teacher license numbers and signatures. Classroom also captures class size, period length, weeks, total hours, and final grade.

What information is tracked for laboratory instruction methods and student progress?

The laboratory section records permit issuance and expiration, instruction method (simulator, multi-car facility, on-street driving with BTW/OBS), car type and number in car, and a dated log with time, lessons, student progress, and observer signatures.

Oct 10, 2026

Uploaded by Logic