Mission and Core Values

Mission and Core Values Agreement*

Check this box indicating that you have read, understand, and can embrace the company's mission and core values

At Kinetic Group, our mission is to coach every driver—new, returning, or rehabilitating—to make excellent decisions behind the wheel, because smart choices save lives. We live our core values by being Invested, Smart, Happy, Grateful, and Growing, which drives us to deliver exceptional service and measurable outcomes while cultivating a positive, supportive environment for both our clients and our team.

Applicant Information

Name*

First Middle Last

Home Phone*

Cell Phone*

Email*

Address*

Street Address City State / Province / Region ZIP / Postal Code

Emergency Contact

Name*

First Middle Last

Home Phone*

Cell Phone*

Relationship To You*

Address*

Street Address City State / Province / Region ZIP / Postal Code

Work Eligibility

Are you a United States Citizen?*

Yes

Do you hold permanent residence status ("green card")?*

Yes

Do you require an employment visa to work in the United States?*

Yes

Driver License Number*

Expiration Date*

Issuing State*

Education and Experience

Languages*

We conduct classes in English and other languages. List all languages you speak, read, and write fluently, including ASL and computer languages.

What position(s) are you applying for?*

Check all that apply.

Behind the wheel driving instructor

Classroom instructor

Office worker

Management team

Compliance

Franchise relations

Marketing

Are you trained to work in any area of special education, or do you have experience working with individuals with learning, emotional, or physical impairment?*

Yes

Other Skills*

What other skills, experiences, awards, or certificates would you like for us to know about?

What is the highest level of education you have received?*

Some High School

High School Graduate

Some College

Associates Degree

Bachelor's Degree

Some Graduate School

Graduate Degree

Name of High School*

Location*

Years Attended*

Degree Earned*

Name of College or University

Location

Years Attended

Degree Earned

Name of College or University

Location

Years Attended

Degree Earned

Work History - Three Most Recent Employers

Employer*

Position Held*

Start Date*

End Date*

Company Phone*

Company Address*

Street Address City State / Province / Region ZIP / Postal Code

Starting Pay*

Ending Pay*

Reason for Leaving*

Employer

Position Held

Start Date

End Date

Company Phone

Company Address

Street Address City State / Province / Region ZIP / Postal Code

Starting Pay

Ending Pay

Reason for Leaving

Employer

Position Held

Start Date

End Date

Company Phone

Company Address

Street Address City State / Province / Region ZIP / Postal Code

Starting Pay

Ending Pay

Reason for Leaving

Please read carefully:

While performing the duties of this job, the employee is regularly required to operate a motor vehicle while giving active instruction to a driver education student. The employee is frequently required to sit and use hands to handle or feel objects, tools, or controls. The employee is frequently required to reach with hands and arms and to talk or hear. The employee is required to stand and walk. The employee must occasionally lift and/or move up to 50 pounds. Specific abilities required by this job include close vision and far vision, and the ability to adjust focus and use depth perception in vehicle traffic on public roadways.

Do you understand and accept these requirements?*

Yes

State certification of driving instructors includes background checks through the State Bureaus of Investigation as well as the Federal Bureau of Investigation. By submitting this application, you are agreeing to these background checks, both now and annually during the course of your employment.

Do you consent to undergoing background checks with the State Bureaus of Investigation as well as the Federal Bureau of Investigation?*

Yes

State certification of driving instructors requires that the applicant be 21 years old or older.

Do you meet the age requirement to be a driving instructor?*

Yes

I am not applying to be a driving instructor

Signature & Attachments

Please upload the following items to this section:
- A photo of your driver's license (take a photo of the front side of your driver's license with NO FLASH)
- A scan or photo of your high school or above diploma or official transcript (if a photo, then with NO FLASH)

Files & Attachments

Drop files here or

Accepted file types: jpg, gif, png, pdf, doc, docx, Max. file size: 5 MB, Max. files: 5.

Signature*

Your Name
Your Name
Your Name

Date

Apply Now

Mission and Core Values

Applicant Information

Emergency Contact

Work Eligibility

Education and Experience

Work History - Three Most Recent Employers

Please read carefully:

Signature & Attachments

Start your journey:

Oklahoma Office:

New Mexico Office:

Join the team of clinical specialists at Kinetic Group who change lives every day.