Drive 7 hours with driving instructor...
I was surprised too. My wife did the written exam for the learners permit. After that she could go 2 ways:
1. Take the driving exam at the local DMV
2. Take Driver Education class online exam and enroll with local driving school, to have 7 hours of driving with them.
After 7 hours of driving around, they've issued a certificate that she can drive. With that we went to DMV website, uploaded the certificate, and about 1 week later her DL arrived in mail.
However, No.2 cost here in Virginia about $350. We went with No.2 so the instructor would give her pointers which maybe I've missed while teaching her. Nope. It turned out to be just drive for 7 hours, no driving instructions whatsoever.
And No.1 is free, up to 3 times a month