Skip to Content
Accessibility
High Contrast
A+
A-
08 9168 3881
admin@wunan.org.au
Connect with us on Facebook
Connect with us on YouTube
Connect with us on LinkedIn
Connect with us on Instagram
Donate Today
Search
Menu
About Us
Our Board & Executive Team
Stronger ACCO's
Partnerships
Our Strategic Pillars
Leadership
Swimming the River on Horseback
Governance and Leadership
East Kimberley Aboriginal Achievement Awards (EKAAS)
Bedford Stock Route Walk
Education
Target 120
Kimberley Education Excellence Program (KEEP)
Driver Training Programs
Choose Your Future
Early Years Support Program and HIPPY
Financial Hub
Employment
Lily Lagoon Resort
Indigenous Business Accounting Services (iBase)
Wunan Construction
Wunan Maintenance Services
Wunan Media
Journey to Empowerment
Jobs & Skills Centre
Housing
Pathways to Home Ownership
KNX Community Hostel
Healthcare
Wunan Health & Wellbeing Centre
headspace Kununurra
Low Medical Withdrawal Unit
Commercial
What's On
Events
Latest News
Resource Centre
Annual Reports
Document Centre
Media Releases
Monthly Newsletters
Research Papers
Search
Donate Today
Home
Online Forms
About Us
Our Board & Executive Team
Stronger ACCO's
Partnerships
Our Strategic Pillars
Leadership
Swimming the River on Horseback
Governance and Leadership
East Kimberley Aboriginal Achievement Awards (EKAAS)
Bedford Stock Route Walk
Education
Target 120
Kimberley Education Excellence Program (KEEP)
Driver Training Programs
Choose Your Future
Early Years Support Program and HIPPY
Financial Hub
Employment
Lily Lagoon Resort
Indigenous Business Accounting Services (iBase)
Wunan Construction
Wunan Maintenance Services
Wunan Media
Journey to Empowerment
Jobs & Skills Centre
Housing
Pathways to Home Ownership
KNX Community Hostel
Healthcare
Wunan Health & Wellbeing Centre
headspace Kununurra
Low Medical Withdrawal Unit
Commercial
What's On
Events
Latest News
Resource Centre
Annual Reports
Document Centre
Media Releases
Monthly Newsletters
Research Papers
Wunan Driver Training
Personal Information
Full Name
*
This field is required.
Preferred Name
Date of Birth
*
This field is required.
Are you Aboriginal or Torres Strait Islander?
*
This field is required.
Yes
No
Contact Number
*
This field is required.
Email Address
*
This field is required.
Current Address
Street Address:
*
City:
*
State:
*
Post Code:
*
Country:
*
Select Country >>
AUSTRALIA
--------
AFGANISTAN
ALBANIA
ALGERIA
AMERICAN SAMOA
ANDORRA
ANGOLA
ANGUILLA
ANTIGUA & BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BHUTAN
BOLIVIA
BONAIRE
BOSNIA & HERZEGOVINA
BOTSWANA
BRAZIL
BRITISH INDIAN OCEAN TER
BRUNEI
BULGARIA
BURKINA FASO
BURUNDI
CAMBODIA
CAMEROON
CANADA
CANARY ISLANDS
CAPE VERDE
CAYMAN ISLANDS
CENTRAL AFRICAN REPUBLIC
CHAD
CHANNEL ISLANDS
CHILE
CHINA
CHRISTMAS ISLAND
COCOS ISLAND
COLOMBIA
COMOROS
CONGO
COOK ISLANDS
COSTA RICA
COTE DIVOIRE
CROATIA
CUBA
CURACO
CYPRUS
CZECH REPUBLIC
DENMARK
DJIBOUTI
DOMINICA
DOMINICAN REPUBLIC
EAST TIMOR
ECUADOR
EGYPT
EL SALVADOR
EQUATORIAL GUINEA
ERITREA
ESTONIA
ETHIOPIA
FALKLAND ISLANDS
FAROE ISLANDS
FIJI
FINLAND
FRANCE
FRENCH GUIANA
FRENCH POLYNESIA
FRENCH SOUTHERN TER
GABON
GAMBIA
GEORGIA
GERMANY
GHANA
GIBRALTAR
GREAT BRITAIN
GREECE
GREENLAND
GRENADA
GUADELOUPE
GUAM
GUATEMALA
GUINEA
GUYANA
HAITI
HAWAII
HONDURAS
HONG KONG
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN
IRAQ
IRELAND
ISLE OF MAN
ISRAEL
ITALY
JAMAICA
JAPAN
JORDAN
KAZAKHSTAN
KENYA
KIRIBATI
KOREA NORTH
KOREA SOUT
KUWAIT
KYRGYZSTAN
LAOS
LATVIA
LEBANON
LESOTHO
LIBERIA
LIBYA
LIECHTENSTEIN
LITHUANIA
LUXEMBOURG
MACAU
MACEDONIA
MADAGASCAR
MALAYSIA
MALAWI
MALDIVES
MALI
MALTA
MARSHALL ISLANDS
MARTINIQUE
MAURITANIA
MAURITIUS
MAYOTTE
MEXICO
MIDWAY ISLANDS
MOLDOVA
MONACO
MONGOLIA
MONTSERRAT
MOROCCO
MOZAMBIQUE
MYANMAR
NAMBIA
NAURU
NEPAL
NETHERLAND ANTILLES
NETHERLANDS
NEVIS
NEW CALEDONIA
NEW ZEALAND
NICARAGUA
NIGER
NIGERIA
NIUE
NORFOLK ISLAND
NORWAY
OMAN
PAKISTAN
PALAU ISLAND
PALESTINE
PANAMA
PAPUA NEW GUINEA
PARAGUAY
PERU
PHILLIPINES
PITCAIRN ISLAND
POLAND
PORTUGAL
PUERTO RICO
QATAR
REPUBLIC OF MONTENEGRO
REPUBLIC OF SERBIA
REUNION
ROMANIA
RUSSIA
RWANDA
ST BARTHELEMY
ST EUSTATIUS
ST HELENA
ST KITTS-NEVIS
ST LUCIA
ST MAARTEN
ST PIERRE & MIQUELON
ST VINCENT & GRENADINES
SAIPAN
SAMOA
SAMOA AMERICAN
SAN MARINO
SAO TOME & PRINCIPE
SAUDI ARABIA
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SINGAPORE
SLOVAKIA
SLOVENIA
SOLOMON ISLANDS
SOMALIA
SOUTH AFRICA
SPAIN
SRI LANKA
SUDAN
SURINAME
SWAZILAND
SWEDEN
SWITZERLAND
SYRIA
TAHITI
TAIWAN
TAJIKISTAN
TANZANIA
THAILAND
TOGO
TOKELAU
TONGA
TRINIDAD & TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
TURKS & CAICOS IS
TUVALU
UGANDA
UKRAINE
UNITED ARAB ERIMATES
UNITED KINGDOM
UNITED STATES OF AMERICA
URAGUAY
UZBEKISTAN
VANUATU
VATICAN CITY STATE
VENEZUELA
VIETNAM
VIRGIN ISLANDS (BRIT)
VIRGIN ISLANDS (USA)
WAKE ISLAND
WALLIS & FUTANA IS
YEMEN
ZAIRE
ZAMBIA
ZIMBABWE
Referring Agency
Referring Agency
*
This field is required.
Select an Option
ABORIGINAL FAMILY AS FIRST EDUCATORS
ABORIGINAL FAMILY LEGAL SERVICES
ADULT COMMUNITY CORRECTIONS
BINARRI-BINJA YARRAWOO
CENTRELINK
CLONTARF
COURTS
DEPARTMENT OF BIODIVERSITY, CONSERVATION AND ATTRACTIONS
DEPARTMENT OF COMMUNITIES
DEPARTMENT OF JUSTICE
DEPARTMENT OF JUSTICE-OPEN DAY
DEPARTMENT OF TRANSPORT
DEPARTMENT OF TRANSPORT REMOTE DAY
FARNORTH
FINES ENFORCEMENT REGISTRY
GAWODENG YAWOODENG
HIGH SCHOOL
HOME NURSE
HORIZON POWER
JOB PATHWAYS
JOBS SKILL CENTRE-TAFE
JUVENILE JUSTICE TEAM
KEY ASSETS
KIMBERLEY COMMUNITY LEGAL AID
KIMBERLEY GROUP TRAINING
KINGFISHER TOURS
MG CORPORATION
NDIS
NEIGHBOURHOOD HOUSE
NGNOWAR AERWAH
NIRRUMBUK
NORTH REGIONAL TAFE (NRT)
NORTHERN SERVICES
ORD VALLEY ABORIGINAL HEALTH SERVICES
OTHASIDE DRIVING SCHOOL
OVAHS
PRISON/WORK CAMP
RANGERS
SCHOOL OF ALTERNATIVE LEARNING -(SOAL)
SEAFARMS
SENIORS HIGH SCHOOL
SHERIFFS COMMUNITY DEVELOPMENT OFFICERS
SHIRE OF WYNDHAM EAST KIMBERLEY
SHOOTING STARS
TAFE- JOBS SKILL CENTRE
THE CAMBRIDGE
TOPEND SEEDS
VACATIONAL TRAINING SERVICE
WA POLICE FORCE
WALKABOUT SOUVENIR SHOP
WARRINGARRI ABORIGINAL CORPORATION
WORK AND DEVELOPMENT PERMIT SCHEME
WUNAN FOUNDATION
WYNDHAM EARLY LEARNING CENTRE
WYNDHAM HIGH SCHOOL
WYNDHAM WORK CAMP
WYNDHAM YOUTH ABORIGINAL CENTRE
Referrer Name
*
This field is required.
Referrer Position
*
This field is required.
Driving Details
Type of License Required
*
This field is required.
Select an Option
Automatic
Manual
Automatic to Manual
Support Required (tick all that apply)
*
This field is required.
Learner’s Permit
Complete logbook hours
Receive driving instruction
Hazard perception test
P Plates
Are you a part of a Work Development Permit Scheme?
*
This field is required.
Yes
No
Driver's Licence Number or Photo Card ID Number
*
This field is required.
License Expiry Date
License Issue Date
Supporting Documents
RL2 Form Upload
*
This field is required.
Max File Size:
10.00 MB
Allowed File Types:
.doc, .docx, .jpeg, .jpg, .pdf, .png, .xls, .xlsx
RL13 Form Upload
*
This field is required.
Max File Size:
10.00 MB
Allowed File Types:
.doc, .docx, .jpeg, .jpg, .pdf, .png, .xls, .xlsx
Proof of Identification (Category A & B)
*
This field is required.
Max File Size:
10.00 MB
Allowed File Types:
.avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx
Proof of Identification (Category C & D)
*
This field is required.
Max File Size:
10.00 MB
Allowed File Types:
.avi, .doc, .docx, .gif, .jpeg, .jpg, .mov, .mp3, .mp4, .mpeg, .mpg, .pdf, .png, .ppt, .pptx, .xls, .xlsx
Photo Consent
I have read the "Rules of the Training Vehicle" document and agree to follow all the rules outlined
*
This field is required.
Yes
No
Do you consent to Wunan's Media and Publicity Consent Form T&C's which would allow the Wunan Foundation to take and use photos of your participation in the Wunan Driver Training program for future promotional materials?
*
This field is required.
Yes
No
Do you consent to the Department of Justice to use photograph(s) and any digital material (audio and visual) taken of you in future marketing materials relating to the Enhanced Driver Training and Education in Regional and Remote Communities program?
*
This field is required.
Yes
No
Do you give permission for the Department of Justice to use your first name with your image?
*
This field is required.
Yes
No
Signature (or parent/guardian signature if under 18)
*
This field is required.
Signature Date
*
This field is required.
Type the code from the image:
Do not fill this textbox.