Appy for Instructor

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Position: Accredited Driver Trainer - Certificate IV in Transport & Logistics
(Motor Vehicle Driving Instruction)

Please complete the following boxes. ※* indicates mandatory field

* Full Name
* Email
※ Make sure the Email address is correct. We will send you Email for confirmation.
* Date of Birth
* Residential Address
Home Ph No.
* Mobile No.
* Current or Last Employment
Previous Work History
Do you suffer. or have you at any time suffered from any condition likely to effect your efficiency in driving a motor vehicle? Yes No
Current state of Health:
Note: You will be requested to provide Queensland Transport (at your own expense) a medical certificate in accordance with the Commercial Drivers Medical Guidelines before accreditation (if required) will be approved.
* Are you a Cigarette smoker? Yes No
Do you accept that there is to be NO SMOKING in any driving instruction vehicle at ANY TIME? Yes No
* Do you have a Police Record, or any criminal convictions in any State or Country? Yes No
* Do you have any Traffic convictions in any State or Country? Yes No
Important Note: If you do not currently hold accreditation as a Driver Trainer you should be aware that Queensland Transport have the discretion to refuse accreditation to any person who does not have a clean criminal and traffic record. Any prospective instructor wishing to obtain accredition must:
  • Have no significant criminal convictions.
  • Have held a driver's licence continuously for three or more years.
  • Have no more than two traffic infringements within the last four years.
  • Have no serious traffic convictions.
  • Have no drink-driving convictions.
If you have answered yes to either questions 15 or 16, you will be asked to give full details at personal interview.
Do you own your own motor vehicle? Yes No
* Are you willing and/or available to work Saturdays if required? Yes No
* and/or Sunday if required? Yes No
* Please give the names and addresses of 3 referees (not relatives) who can vouch for your character, and whom we may contact should we wish to:
Referees 1
Name:
Address:
Phone:
Occupation:
Referees 2
Name:
Address:
Phone:
Occupation:
Referees 3
Name:
Address:
Phone:
Occupation:
* I, the person making this application, declare that the information set out herein is true and correct.

Yes