Driver Supervisor Application
1. Personal Information
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: 0000 000 000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Company
ABN (if applicable)
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2. Licence Information
Current highest level Truck Licence held
*
Please Select
LR - Light Rigid
MR - Medium Rigid
HR - Heavy Rigid
HC - Heavy Combination
MC - Multi Combination
Licence Number
*
Licence Expiry Date
*
-
Day
-
Month
Year
Enter Date
Years Experience at this Licence Level
*
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3. Qualifications
List Qualifications Held VET/TAFE/University
Upload Qualifications Certificate
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Choose a file
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4. Driver Technical Experience
Years of experience across all Heavy Vehicle Licences held
*
Have you been/are a Heavy Vehicle instructor or trainer?
*
Please Select
Yes
No
Do you consider yourself proficient in?
*
Rows
Yes
No
Adequate
Trailer coupling/decoupling
Reversing
Tyre changing
Are you familiar with most of the Advanced Driver Assistance Systems (ADAS)?
*
Yes
No
Adequate
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5. Professional Development Plans
Have you got Professional Development plans for next year?
*
Yes
No
If yes, please provide a brief description
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6. Psychometric Test
Have you had a Psychometric Test?
*
Yes
No
Date Undertaken
-
Day
-
Month
Year
Date
If you have done a psychometric test, please upload evidence
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Nominated Referee
Nominated Referee
First Name
Last Name
Contact Phone number
Please enter a valid phone number.
Format: 0000 000 000.
Submit
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