DLBS - Instructors Sign Up Page.

Instructors > Signup Form

Please complete the registration form below to be added to our database of national, driving instructors.

Please fill in all details in the form below.

Note that, for security reasons, your IP will be recorded: 38.103.63.16

Fields with a * are required fields

About You

First Name: *

Surname: *

Address: *

Post Code: *

Telephone Number:

Mobile Number:

E-mail Address:

[IP: 38.103.63.16]

Please be sure to enter a valid e-mail address so that we can contact you when we have a pupil waiting. If you do not have access to an e-mail address please leave this box empty.

Number of Male Instructors:

Number of Female Instructors:

Your Qualifications

ADI Number:

Year Qualified:

Grade on last check test:

Pass Plus Registered:

Your Pricing

You must provide a price per hour for one or both lesson types

Price per hour for a Manual Lesson (if applicable)	£
Price per hour for an Automatic Lesson (if applicable)	£

Discount details
(if applicable):

Further Details

Model of Car: *

Name of School: *

Sales Pitch:

Please Note: As each instructors details are sent out anonymously through the DLBS you are not permitted to use your driving school name or contact details here.

(Use this box to "sell yourself" to your prospective pupils. This information is sent out with your hourly price and might be the reason a pupil chooses you over another instructor)

You have 255 characters remaining for your description.

Availability

Days Off:

Intensive Courses:

Short Notice Tests:

Login Details

User Name: *

Password: *