{"id":371,"date":"2024-12-03T15:10:53","date_gmt":"2024-12-03T04:40:53","guid":{"rendered":"https:\/\/applications.nazareth.catholic.edu.au\/student-forms\/?page_id=371"},"modified":"2024-12-03T16:07:09","modified_gmt":"2024-12-03T05:37:09","slug":"student-driver-application-form","status":"publish","type":"page","link":"https:\/\/applications.nazareth.catholic.edu.au\/student-forms\/student-driver-application-form\/","title":{"rendered":"Student Driver Application Form"},"content":{"rendered":"<script>\n\/\/----------------------------------------------------------\n\/\/------ JAVASCRIPT HOOK FUNCTIONS FOR GRAVITY FORMS -------\n\/\/----------------------------------------------------------\n\nif ( ! gform ) {\n\tdocument.addEventListener( 'gform_main_scripts_loaded', function() { gform.scriptsLoaded = true; } );\n\tdocument.addEventListener( 'gform\/theme\/scripts_loaded', function() { gform.themeScriptsLoaded = true; } );\n\twindow.addEventListener( 'DOMContentLoaded', function() { gform.domLoaded = true; } );\n\n\tvar gform = {\n\t\tdomLoaded: false,\n\t\tscriptsLoaded: false,\n\t\tthemeScriptsLoaded: false,\n\t\tisFormEditor: () => typeof InitializeEditor === 'function',\n\n\t\t\/**\n\t\t * @deprecated 2.9 the use of initializeOnLoaded in the form editor context is deprecated.\n\t\t * @remove-in 3.1 this function will not check for gform.isFormEditor().\n\t\t *\/\n\t\tcallIfLoaded: function ( fn ) {\n\t\t\tif ( gform.domLoaded && gform.scriptsLoaded && ( gform.themeScriptsLoaded || gform.isFormEditor() ) ) {\n\t\t\t\tif ( gform.isFormEditor() ) {\n\t\t\t\t\tconsole.warn( 'The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.' );\n\t\t\t\t}\n\t\t\t\tfn();\n\t\t\t\treturn true;\n\t\t\t}\n\t\t\treturn false;\n\t\t},\n\n\t\t\/**\n\t\t * Call a function when all scripts are loaded\n\t\t *\n\t\t * @param function fn the callback function to call when all scripts are loaded\n\t\t *\n\t\t * @returns void\n\t\t *\/\n\t\tinitializeOnLoaded: function( fn ) {\n\t\t\tif ( ! 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Once submitted, parents\/caregivers will receive an email with a copy of this completed form, for approval.\n<br><br>\n\nPermission to drive and carry other passengers is only for the journey to and from school or between campuses during the school day. <b>Students are not permitted to drive, either themselves or other students, to school-related\nactivities during the day that are not held on one of our campuses.<\/b>\n<br><br>\n\nAny student driving another student to and from school or between campuses must have the written permission to do so from the parents of that student.\n<br><br>\n\nIt is compulsory that the student&#8217;s drivers licence, along with the necessary approval to drive and or carry passengers, is received by a Year Level Coordinator before approval to drive to and from school or between campuses is granted.\n<br><br><\/div><div id=\"field_44_104\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">STUDENT DETAILS<\/h3><\/div><div id=\"field_44_1\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gf_readonly gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_1'>First Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_1' id='input_44_1' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_44_96\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gf_readonly gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_96'>Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_96' id='input_44_96' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_44_112\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >Student Email Address<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_complex ginput_container ginput_container_email gform-grid-row' id='input_44_112_container'>\n                                <span id='input_44_112_1_container' class='ginput_left gform-grid-col gform-grid-col--size-auto'>\n                                    <input autocomplete=\"off\"  class='' type='email' name='input_112' id='input_44_112' value=''    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_44_112\" \/>\n                                    <label for='input_44_112' class='gform-field-label gform-field-label--type-sub '>Enter Email<\/label>\n                                <\/span>\n                                <span id='input_44_112_2_container' class='ginput_right gform-grid-col gform-grid-col--size-auto'>\n                                    <input autocomplete=\"off\"  class='' type='email' name='input_112_2' id='input_44_112_2' value=''    aria-required=\"true\" aria-invalid=\"false\" aria-describedby=\"gfield_description_44_112\" \/>\n                                    <label for='input_44_112_2' class='gform-field-label gform-field-label--type-sub '>Confirm Email<\/label>\n                                <\/span>\n                                <div class='gf_clear gf_clear_complex'><\/div>\n                            <\/div><div class='gfield_description' id='gfield_description_44_112'>Please only use your Nazareth email address.<\/div><\/fieldset><div id=\"field_44_97\" class=\"gfield gfield--type-select gfield--input-type-select gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_97'>Year Level<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_select'><select name='input_97' id='input_44_97' class='large gfield_select'    aria-required=\"true\" aria-invalid=\"false\" ><option value='' selected='selected' class='gf_placeholder'>Please select<\/option><option value='11' >11<\/option><option value='12' >12<\/option><\/select><\/div><\/div><div id=\"field_44_99\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_99'>Mentor Group<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_99' id='input_44_99' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_44_114\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">VEHICLE DETAILS<\/h3><\/div><div id=\"field_44_115\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gf_readonly gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_115'>Make of Vehicle<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_115' id='input_44_115' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_44_116\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gf_readonly gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_116'>Year and Model<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_116' id='input_44_116' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_44_118\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gf_readonly gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_118'>Colour<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_118' id='input_44_118' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_44_117\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gf_readonly gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_117'>Registration Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_117' id='input_44_117' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_44_119\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gf_readonly gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_119'>Please advise how many seatbelts the vehicle is equipped with \/ how many passengers the vehicle can safely carry<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_119' id='input_44_119' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_44_125\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">DRIVERS LICENCE<\/h3><\/div><fieldset id=\"field_44_121\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label' >I currently hold the following Driver&#039;s Licence:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_radio'><div class='gfield_radio' id='input_44_121'>\n\t\t\t<div class='gchoice gchoice_44_121_0'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_121' type='radio' value='Full Driver&#039;s Licence'  id='choice_44_121_0' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_44_121_0' id='label_44_121_0' class='gform-field-label gform-field-label--type-inline'>Full Driver&#8217;s Licence<\/label>\n\t\t\t<\/div>\n\t\t\t<div class='gchoice gchoice_44_121_1'>\n\t\t\t\t\t<input autocomplete=\"off\"  class='gfield-choice-input' name='input_121' type='radio' value='P Plate Licence'  id='choice_44_121_1' onchange='gformToggleRadioOther( this )'    \/>\n\t\t\t\t\t<label for='choice_44_121_1' id='label_44_121_1' class='gform-field-label gform-field-label--type-inline'>P Plate Licence<\/label>\n\t\t\t<\/div><\/div><\/div><\/fieldset><div id=\"field_44_124\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><b>Please scan a copy of your current Driver&#8217;s Licence and email it to <a href=\"mailto:student.services_kp@nazareth.catholic.edu.au\" target=\"_blank\">student.services_kp@nazareth.catholic.edu.au<\/a> with your Full Name in the email Subject.<\/b>\n<br><br><\/div><div id=\"field_44_109\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">STUDENT DRIVER DECLARATION<\/h3><\/div><div id=\"field_44_120\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  >I wish to make an application to drive the above vehicle to and from school or between campuses each day and declare\nthat I am the driver\/owner of the above vehicle.\n<br><br><\/div><div id=\"field_44_122\" class=\"gfield gfield--type-html gfield--input-type-html gfield--width-full gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><b>\nFor the privilege of driving, I willingly accept the following conditions:<\/b>\n<ul>\n<li>\nI will always park my car in the areas designated as \nstudent parking. I am aware that only Year 12 students are allowed to park in the campus carpark and that Year 11 drivers are to park in surrounding areas, ensuring they follow all road rules regarding legal parking requirements and are respectful to neighbours.<\/li>\n\n<li>\nI will not go to my car without permission while at school.<\/li>\n\n<li>\nI will not carry any passengers (ie students) while travelling to or from school or between campuses unless the necessary permission forms have been signed and submitted.<\/li>\n\n<li>\nI will not drive, either myself or other students, to school-related activities during the day that are not held on a Nazareth campus.<\/li>\n\n<li>\nI will drive my vehicle safely and responsibly and will not drive my car in a manner dangerous to the public while in school uniform, remembering that my actions reflect upon the College.<\/li>\n<\/ul>\n\n<b>\nFurthermore, as the driver of this vehicle, I declare that: <\/b>\n<ul>\n<li>\nNo passenger will occupy a seat not fitted with a seatbelt.<\/li>\n\n<li>\nThe vehicle will not be overloaded.<\/li>\n\n<li>\nI am aware of, understand and will abide by the Road Traffic and Safety Rules and Laws regarding driving, drugs and\/or alcohol.<\/li>\n\n<li>\nI am aware of the laws regarding the numbers of passengers I am able to transport.<\/li>\n\n<li>\nIn the event of an accident, I accept that the College does not accept responsibility for any accident involving this vehicle and myself; furthermore, any passengers are not required to reimburse me for any expenses that may be incurred.<\/li>\n\n<li>\nThe Nazareth College Board accepts NO liability for an accident or injuries sustained in an accident that involves private vehicles.<\/li>\n<\/ul>\n\n<\/div><fieldset id=\"field_44_103\" class=\"gfield gfield--type-consent gfield--type-choice gfield--input-type-consent gfield--width-full gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><legend class='gfield_label gform-field-label gfield_label_before_complex' >STUDENT ACKNOWLEDGEMENT<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/legend><div class='ginput_container ginput_container_consent'><input autocomplete=\"off\"  name='input_103.1' id='input_44_103_1' type='checkbox' value='1'  aria-describedby=\"gfield_consent_description_44_103\" aria-required=\"true\" aria-invalid=\"false\"   \/> <label class=\"gform-field-label gform-field-label--type-inline gfield_consent_label\" for='input_44_103_1' >I have read the Student Driving Policy regarding student drivers and agree to abide by it.<\/label><input autocomplete=\"off\"  type='hidden' name='input_103.2' value='I have read the Student Driving Policy regarding student drivers and agree to abide by it.' class='gform_hidden' \/><input autocomplete=\"off\"  type='hidden' name='input_103.3' value='100' class='gform_hidden' \/><\/div><div class='gfield_description gfield_consent_description' id='gfield_consent_description_44_103' tabindex='0'>I willingly accept that if I fail to observe all that has been requested, I will forego the privilege of driving to school immediately. <\/div><\/fieldset><div id=\"field_44_113\" class=\"gfield gfield--type-signature gfield--input-type-signature gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_113'>Student Signature<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><input autocomplete=\"off\"  type='hidden' value='' name='input_113' id='input_44_113_signature_filename'\/><div class='gfield_signature_ui_container gform-theme__no-reset--children' ><div id='input_44_113_Container' class='gfield_signature_container ginput_container' style='height:180px; width:500px; ' ><canvas id='input_44_113' width='500' height='180' style='border-style: Dashed; border-width: 2px; border-color: #DDDDDD; background-color:#FFFFFF; cursor: url(https:\/\/applications.nazareth.catholic.edu.au\/student-forms\/wp-content\/plugins\/gravityformssignature\/assets\/img\/pen.cur), pointer;'><\/canvas><\/div><div id='input_44_113_toolbar' style='margin:5px 0;position:relative;height:20px;width:500px;max-width:100%;'><img id = 'input_44_113_resetbutton' src='data:image\/png;base64,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' style='cursor:pointer;float:right;height:24px;width:24px;border:0px solid transparent' alt='Clear Signature' \/ ><\/div><input autocomplete=\"off\"  type='hidden' id='input_44_113_data' name='input_44_113_data' value=''><\/div><\/div><div id=\"field_44_111\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-no-icon gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_111'>Date of form completion<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n                            <input autocomplete=\"off\"  name='input_111' id='input_44_111' type='text' value='' class='datepicker gform-datepicker dmy datepicker_no_icon gdatepicker-no-icon'   placeholder='dd\/mm\/yyyy' aria-describedby=\"input_44_111_date_format\" aria-invalid=\"false\" aria-required=\"true\"\/>\n                            <span id='input_44_111_date_format' class='screen-reader-text'>DD slash MM slash YYYY<\/span>\n                        <\/div>\n                        <input autocomplete=\"off\"  type='hidden' id='gforms_calendar_icon_input_44_111' class='gform_hidden' value='https:\/\/applications.nazareth.catholic.edu.au\/student-forms\/wp-content\/plugins\/gravityforms\/images\/datepicker\/datepicker.svg'\/><\/div><div id=\"field_44_87\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><h3 class=\"gsection_title\">PARENT\/CAREGIVER DETAILS<\/h3><\/div><div id=\"field_44_105\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gf_readonly gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_105'>First Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_105' id='input_44_105' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_44_106\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-half gf_readonly gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_106'>Last Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_106' id='input_44_106' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><div id=\"field_44_107\" class=\"gfield gfield--type-text gfield--input-type-text gfield--width-full gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_44_107'>Contact Number<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input autocomplete=\"off\"  name='input_107' id='input_44_107' type='text' value='' class='large'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/div><fieldset id=\"field_44_108\" class=\"gfield gfield--type-email gfield--input-type-email gfield--width-full gfield_contains_required 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