MCC-406 Equal Opportunity College/Affirmative Action Employer Rev. 09/15
Affidavit of Integrity
By signing this document, I certify that I will personally complete the assignments for the Auto Dealer 6-Hour Continuing
Education License Renewal Class. My signature acknowledges that I will receive no unauthorized assistance with the
course and will complete the tests and quizzes myself.
Student Name __________________________________________________________________________________________________________________
Email Address ______________________________________________________ Best Contact Phone No. _________________________________
Dealership Name________________________________________________________________________________________________________________
Dealership License Number ________________________________________ License Expiration Date _________________________________
Dealership Mailing Address _____________________________________________________________________________________________________
City, State, Zip Code ____________________________________________________________________________________________________________
Student Signature __________________________________________________ Today’s Date ____________________________________________