邢唷��>� fh��e��欹�� 瞈bjbj垍垍 8b觑觑>[X�� LLL��```8��LT`�>��(�(�(�=�=�=�=�=�=�=$%@�譈�>9L�(�&��(�(�(>��&=>N+N+N+�(R��L��=N+�(�=N+N+��8��9��pB菿W��(��9�=S>0�>�9cD�)�cD �9cDL�9��(�(N+�(�(�(�(�(>>`*��(�(�(�>�(�(�(�(��cD�(�(�(�(�(�(�(�(�(� �: Application for Drink Drive Rehabilitation Scheme (DDRS) course approval in Wales Section 1 Applicant and areas Name of organisation: Type of organisation: Companies House Number: (if applicable) Registered address: Name of contact person: (for general admin purposes) Position in organisation: Telephone number: Email address: Name of person responsible for this application: Position in organisation: Telephone number: Email address: Correspondence address: (if different from above) If your organisation is part of a group, or has a parent company or close affiliation with another organisation, please provide a description or diagram of the organisational structure. If your organisation is without affiliations or links to other organisations, please tick this box: [ ] Specified geographic areas you are applying for: South East Wales �% South West Wales �% Mid & North Wales �% Refer to the guidance documentation for a description the areas (Annex A). Section 2 Course content & delivery 2.1 Please provide details of the content of your proposed course, giving an outline of the course plan (with timings) and how the course aligns with the DDRS syllabus and course guidance. 2.2 Please provide a copy of representative learning materials which will be provided to course participants. Learning materials may be submitted in paper and electronic form. Please provide details of how your course will be adapted for those with special needs, disability, or those for whom English or 问鼎娱乐 is not their first language. Please provide details of how you will ensure that the course and course materials are available in 问鼎娱乐. Please provide details of how you will ensure that courses are available across the region in which approval is granted, including rural areas. 2.6 Please provide details of your methods and processes for course and trainer evaluation, (These should be able to confirm, at a minimum, that course participants have experienced a reaction and a transfer of learning). Section 3 Facilities and trainers 3.1 Please provide with your application details of your trainers� relevant qualifications and experience. (Note: the names of trainers do not need to be provided, just their relevant qualifications/experience) 3.2 Please describe how you will ensure the security of your staff and to make sure your approved course is delivered professionally and effectively across the specified geographic area(s) for which you have applied. 3.3 Please provide a list of addresses for confirmed premises you intend to use to deliver courses; these should comply with relevant health and safety regulations, be conducive to learning, and provide appropriate levels of confidentiality for all those taking part. Please demonstrate how you would deliver sufficient course provision to meet demand within the specified geographical area(s). 3.4 Please confirm whether the following statement is accurate, by ticking the appropriate box: Your trainers and other staff involved in course delivery understand their duty of care and the limits of their competence in relation to individuals who request further assistance or who may benefit from medical support: Yes [ ] No [ ] Section 4 Administrative arrangements To confirm that your organisation operates to an acceptable standard, please consider each statement that follows and, if it is true, put a tick in the box beside it. If a statement is not true, please do not place a tick in the box beside that statement. We confirm that we have appropriate and adequate processes in place to: Record, investigate and respond to customers� complaints. [ ] 4.2 Record the number of referred offenders. [ ] 4.3 Record the number of referred offenders transferred from, and to, other DDRS course providers. [ ] 4.4 Identify the percentage of referred offenders who commence a course. [ ] Identify the number of referred offenders who successfully complete each course. [ ] Identify the reasons referred offenders give for leaving a course before completion, or not attending a course they have been booked on. [ ] 4.7 Record the number of 慹xception reports� submitted, approved and rejected. [ ] 4.8 Record the number of approved exceptions as a percentage of Certificates of Completion. [ ] 4.9 Record and report a summary of course and trainer evaluation findings and related actions. [ ] 4.10 Ensure that all such records are kept accurately and in compliance with the relevant legislation. [ ] 4.11 We confirm that data collected will be retained and handled in accordance with the requirements of Data Protection legislation. [ ] Section 5: Other approvals and accreditations Do you hold any other relevant approvals or accreditations (for example ISO)? Yes [ ] No [ ] If yes, please supply details below: Name: __________________________ Signature: __________________________ Date: __________________________ Please note that background checks may be conducted on all organisations, and their directors, who apply for approval to deliver DDRS courses. Please send the completed application to: Drink Drive Rehabilitation Course Approvals Road Safety Transport 问鼎娱乐 Government Cathays Park Cardiff CF10 3NQ Drink Drive Rehabilitation Scheme Wales - Application form Limited Company ( Charity ( PLC ( Local Authority ( Partnership ( Not-for-profit Company ( Sole Trader ( Other (please specify): _______________________ 2IRST\]rstu�磉陨呔沙摺搮z揰N= h�hbp�CJOJQJ^JaJ h2&3hbp�CJOJQJ^JaJ4jh2&3hbp�CJOJQJU^JaJmHnHuh h5丱JQJ^JhYfhYf5丱JQJ^JhYfhbp�5丱JQJ^J#h#&hsPw5丆JOJQJ^JaJh��5丱JQJ^Jh嶧B5丱JQJ^Jh鏪w5丱JQJ^JhYf5丱JQJ^Jh誯�hbp�5丱JQJ^J#h礧�h誯�5丆JOJQJ^JaJSTsu�� % ��gd�gdygdbp� ��gd�>�$a$gdbp��逶迷潖乸UG6% h$�hyCJOJQJ^JaJ h�hyCJOJQJ^JaJh�/�CJOJQJ^JaJ4jh�hyCJOJQJU^JaJmHnHu h1+}h�CJOJQJ^JaJh�CJOJQJ^JaJh��CJOJQJ^JaJhbp�CJOJQJ^JaJ.jhNLCJOJQJU^JaJmHnHu h�hT 0CJOJQJ^JaJ h�hbp�CJOJQJ^JaJ4jh�h$�CJOJQJU^JaJmHnHu�� % & ' A B C D U V g h p 镌锩矚飰n]餁肙餁�7�.jhH.�CJOJQJU^JaJmHnHuhoyCJOJQJ^JaJ hH.�hyCJOJQJ^JaJ4jhH.�hH.�CJOJQJU^JaJmHnHu h$�hyCJOJQJ^JaJ.jhH.�CJOJQJU^JaJmHnHu h$�h�CJOJQJ^JaJ 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