Form F3948 Cfd Driver Trainer And Rider Trainer Accreditation Application Page 2
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4 - Do you currently hold a driver/rider
9 - Accreditation Classes
trainer accreditation in another Australian
What class/es are you applying for/renewing?
jurisdiction?
Car Stream
No
Motor Car
C
Yes
You may be eligible to apply under mutual
Heavy Vehicle Stream
recognition.
Light Rigid
LR
5 - Background Information
Medium Rigid
MR
(a) Have you ever been known, or are you known by, any other
Heavy Rigid
HR
name?
Yes
Heavy Combination
HC
No
You are required to give full details.
What name/s?
Period
Multi-Combination
MC
/
/
Motorbike Stream
/
/
Motorbike
R
(b) Have you lived in any other state, territory or country in the
Rider Trainer (Q-RIDE)
QR
last 10 years?
* For information about the Learner Approved Motorbike
Yes
No
You are required to give full details.
Scheme (LAMS), visit
Where?
Period
10 - Competency Requirements
/
/
(To be completed by new or upgrading driver trainers)
/
/
(a) Are you applying for mutual recognition of a current driver/
rider trainer accreditation held in an Australian jurisdiction?
6 - Previous Industry Authority Information
No
Yes
You must complete Equivalent Occupation
Have you ever had an authority/licence/accreditation/
Registration Notice (form F2762). Go to 11
certificate (in Queensland or elsewhere) suspended,
(b) Which of the following qualification(s) do you hold?
cancelled or refused?
Light vehicle class (C and CA)
No
Yes
You are required to give full details below.
Certification IV in Transport and Logistics (Road
If insufficient room – attach separate sheet.
Transport – Car Driving Instruction)
Town/State/Country
Period
TLI41216 or TLI 41210
/
/
/
/
Heavy vehicle classes (LR, MR, HR, HC, MC)
Certification IV in Transport and Logistics (Road
7 - Traffic History
Transport – Heavy Vehicle Driving instruction)
(a) Have you ever had your driver licence suspended/cancelled/
TLI41316 or TLI 41310
disqualified?
including one of the following competency units:
You are required to give full details below.
No
Yes
Drive LR vehicle TLIC 2002
If insufficient room – attach separate sheet.
Drive MR vehicle TLIC 3003
Drive HR vehicle TLIC 3004
(b) Have you, in the last three years, received a notice in
Drive HC vehicle TLIC 3005
relation to any traffic offence other than parking? (for
Drive MC vehicle TLIC 4006
example, speeding, failure to give way)
Please note: for class MC you must also have TAE
You are required to give full details below.
No
Yes
40110-Certificate IV in Training and Assessment or
If insufficient room – attach separate sheet.
TAEASS 401 and TAEASS 402 assessment competency
units.
Motorbike class (R)
Certification IV in Transport and Logistics (Road
8 - Criminal History
Transport – Motorcycle Riding Instruction)
(a) Have you, in the last 10 years, been convicted of a criminal
TLI41416 or TLI 41410
offence or been charged with any offence and the charge
has not been finally disposed? Conviction includes a finding
Rider Trainer (authorised to deliver Q-RIDE)
of guilt, and the acceptance of a plea of guilty, by a court,
The following assessment units:
whether or not a conviction was recorded.
You are required to give full details below.
Certification IV in Training and Assessment
No
Yes
TAE 40110
If insufficient room – attach separate sheet.
or
TAEASS 401 - Plan assessment activities and
processes
TAEASS 402 - Assess competence
continued next page...
Page 2 of 4 TRB Forms Area Form F3948 CFD V01 Jul 2016
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