Please fill out the form below to submit your request subsidised lessons. You can also download a PDF copy of the form here and email it to des.shoalhaven@gmail.com.
Download Lesson Application Form
First Name
Surname
Address
Email
Contact Number
License Number
Expiry Date of License
Number of hours completed:
I am a Government Health Care Card Holder YesNo
If yes, card number:
I am currently employed YesNo
I am willing to participate in the Learner Driver Mentor Programme should a suitable mentor be found. YesNo
I have my own vehicle YesNo
