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Career Driven Preferred Provider Application
Career Driven Preferred Provider Application
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Section 1 - Business Details
Please provide the details of your business and the primary contact person for communication.
ABN
*
Australian Business Number
Business Name
*
Primary Contact Name
*
Primary Contact Email
*
Primary Contact Phone Number
*
Business Address
*
Address Line 1
City
State / Province / Region
Postal Code
Section 2 - Service Information
Lesson types offered:
*
VORT only
CBT&A only
VORT and CBT&A
Minimum lesson time:
*
N/A
60 minutes
90 minutes
120 minutes
Other
Fee for a 60 minute lesson:
*
Please detail how much is charged for a 60 minute lesson. If you do not offer 60 minute lessons, please put N/A.
Fee for a 90 minute lesson:
*
Please detail how much is charged for a 90 minute lesson. If you do not offer 90 minute lessons, please put N/A.
Fee for a 120 minute lesson:
*
Please detail how much is charged for a 120 minute lesson. If you do not offer 120 minute lessons, please put N/A.
Surcharges and additional fees
The career driven covers the cost of driving lessons only, any surcharges must be disclosed and will be taken into consideration in our assessment process.
Please select if an additional fee is charged on any/all of the following:
*
None
Weekends
Public Holidays
Regional Pickups
Manual transmission
Out of school hours
Other
Detail other surcharges:
Weekend surcharge:
*
Public Holiday surcharge:
*
Regional surcharge:
*
Manual surcharge:
*
Out of school hours surcharge:
*
VORT and final drive
Do you offer Vehicle on Road Tests (VORT)?
*
--- Select Choice ---
Yes
No
offered: Website Check
How much do you charge for a VORT?
*
Do you offer a Final Drive?
*
--- Select Choice ---
Yes
No
How much do you charge for the Final Drive?
*
Packages / special offers
Please advise of any packages, special offers and/or discounts.
Please advise of any packages or special offers:
Availability
Please detail the days, hours and regions that your services are offered.
Days of operation:
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Hours of operation:
*
Please advise which areas you service in South Australia
*
Northern Adelaide
Southern Adelaide
Eastern Adelaide
Western Adelaide
Adelaide Hills
Barossa, Light & Lower Light
Eyre Peninsula & Western
Far North & APY Lands
Fleurieu & Kangaroo Island
Limestone Coast
Murray & Mallee
Yorke & Mid North
Cancellation Policy
Please detail your cancellation policy.
Please detail your cancellation policy:
*
Section 3 - Compliance and Supporting Documentation
What type of Motor Driving Instructor are you:
*
Motor Driving Instructor (no flash)
CBT&A Authorised Examiner (yellow flash)
VORT Authorised Examiner (red flash)
Provide a copy of your current motor driving instructor's (MDI) licence:
*
Click or drag files to this area to upload.
You can upload up to 2 files.
MDI Expiry Date:
*
Provide a copy of your Working With Children Check (WWCC):
*
Click or drag files to this area to upload.
You can upload up to 2 files.
Section 4 - Displayed Information
If approved, your details will appear on the doorways2construction website. Be sure to include any helpful contact information so students can easily get in touch with you.
Displayed Contact Number:
If this is the same as the primary contact information above you can leave this blank
Displayed Email Address:
If this is the same as the primary contact information above you can leave this blank
Displayed Website / Socials:
Additional Information
Please detail any additional information that you would like considered to be included on the website. E.g. is there an option for female trainers?
Please upload your logo
Click or drag a file to this area to upload.
Please note this will be displayed next to your information. Your image will be sized to fit our website - JPEG, PDF ONLY
Declaration
Declaration
*
The information I have provided within this form is true and correct
My business details will be shown on the doorways2construction website, if approved
I have read and agree to the Career Driven Terms and Conditions for Preferred Providers
I have read and agree to the Career Driven Inclusions and Exclusions for Preferred Providers
I have read and agree to the Career Driven Invoicing Guidelines for Preferred Providers
Submit