Learner driver expression of interest

Required fields are marked with an asterisk (*).
Your details
Do you have a learner driver's licence? *
How did you hear about the Y drive program? *
Are you on any type of medication? *
Do you wear glasses for driving? *
Do you identify as Aboriginal/Torres Strait Islander? *
Do you have a disability / injury / mental health issue? *
If yes, could it affect your ability to drive?
Have you had any experience driving a vehicle before? *
Do you have any traffic fines or have you been disqualified from driving? *
Have you had any professional driving lessons before? *