Approved Driving Instructor 2023 – RSA Leading Lights Awards

RSA Leading Lights Awards logo

Leading Lights Awards

Approved Driving Instructor (ADI)
Nomination Form 2023

Nominations will be accepted from another ADI or a learner driver.
To be eligible the ADI must have a valid in date permit and be approved for a minimum of three consecutive years.

A. YOUR DETAILS

YOUR NAME(Required)

First Last

ADDRESS

Street Address Address Line 2 City County ZIP / Postal Code Country

CONTACT NUMBER(Required)

EMAIL ADDRESS(Required)

YOUR ADI or DRIVER NUMBER(Required)

B. NOMINATION

NAME OF NOMINATED ADI(Required)

THEIR ADI NUMBER(Required)

THEIR PHONE NUMBER (if known)

C. NOMINATION CATEGORY

Category(Required)

ADI’s may be nominated in one category only. Where nominations are made for the same ADI in more than one category, the ADI will be asked to choose their preferred category for assessment.
Please select the category you wish to nominate the ADI for.

Motorcycles

Cars (light vans)

Trucks (rigid)

Buses & Coaches

D. SUMMARY

SUMMARY(Required)

Please provide a short paragraph summarising the special contribution of the ADI towards road safety. (max 2000 characters)

E. IMPORTANT NOTES

You need to get permission from the ADI before you submit this entry to make sure they are happy to be put forward for assessment.

Permission(Required)

I can confirm that I have asked the ADI’s permission and the ADI is happy to be nominated.

ADI’s who have won a Leading Light Award in the past in either of the categories above (car, bus, truck, motorcycle) are not eligible to enter for award in the same category until 3 years have lapsed.

F. DECLARATION

Accuracy of Information(Required)

I can confirm that the contents of this nomination form are true and accurate.

Terms and Conditions(Required)

I accept the terms and conditions

Comments

This field is for validation purposes and should be left unchanged.