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Committee Member Nomination Form 2021-22

As per the Constitution of The NSW Driver Trainers Association, several positions on the management Committee will become vacant at the 2021 Annual General Meeting, on 28/11/2021. Committee members are elected for a 1-year period, with the date of 2022 AGM set up by the incoming Committee.

Any financial full member can be nominated. Please use the section below to nominate either yourself, or somebody else who would be willing to take a place on the management Committee to help guide Association initiatives and goals.

We also ask that the nominated person provide some information on themselves to help members make an informed decision about who they are voting for. This information should include what you do in the industry, your history as a driver trainer and why do you want to be on the committee. We would also ask for a simple photo of the nominee so that those members that don’t know everybody may be able to recognise who they are voting for and put a face to the name.

    As a Committee nominee please answer the following:

    I can pledge time to Committee business as:
    I can attend Committee Meetings via ZOOM:
    I can attend Committee Meetings in person:
    I have experience or interest outside of Driving Instruction in:

    Photo of Nominee:

    Please fill in the form above or download the PDF nomination form and return with the requested photo to admin@nswdta.com.au.

    Or print & post this to NSW Driver Trainers Association, PO Box 680 Campbelltown NSW 2560

    No later than close of business 23 November 2021.

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        Contact Details



        Business Details


        Are you GST Registered? Is an Accountant used?


        Working arrangement

        Tranmission Type: Are disabled driver controls fitted?
        Do you need to enter information for another vehicle?


        Tranmission Type: Are disabled driver controls fitted?
        Do you need to enter information for another vehicle?

        Tranmission Type: Are disabled driver controls fitted?
        Do you need to enter information for another vehicle?

        Tranmission Type: Are disabled driver controls fitted?

        Membership Details

        Can we list you on our publicly accessed website? Receive our email updates & News?

        Area(s) which you service: SydneyHunterNorthSouthSouth WestWest
        Languages you speak and understand (other than English):
        Do you have NRMA roadside assist or similar?
        Are you a current Older Driver Assessor?
        Are you an HVCBA Assessor?

        Are you Keys2drive Accredited?

        Are you Driver Rehabilitation qualified?
        Do you have a Cert IV in Driving Instruction?

        Do you have a Cert IV in Training and Assessing?

        Do you teach the NSW ‘Safer Drivers Course’?

        As a facilitator of Module 1? As Module 2 coach?

        Were you referred to NSW DTA through an existing member?
        Terms & Conditions.
        Please make payment through direct deposit and enter your receipt number below. Bank details: St George 112 879 a/c NSW Driver Trainers Association 429 731 615.

        Get in touch

        Need information on membership or driver training in your area?

        Drop us an email: admin@nswdta.com.au