FuelGood Driver Training Application Form (2015/16) Organisation Details Organisation name: No. of employees: Organisation address: Contact name: Job title: Email: Tel: Mobile: Fleet size (<3.5t): Total no. of fleet drivers: Annual mileage: Annual fuel spend: £ How many of the staff being trained drive company vehicles: (exact number) or All None Training Requirements Is the training is to take place in: Cars Vans Number of places required (multiples of 8; minimum 8): Training location(s) address: Training date/s required: (please state date at least 4 weeks from date of application) Please tell us where you heard about the FuelGood programme? Select from list You will receive a follow up report detailing a summary of all your drivers’ results. Each driver will also be asked to provide their email address during the training so their personal certificate can be emailed directly to them. I accept the terms & conditions stated overleaf including minimum number of drivers trained and the cancellation conditions: Name: Date: Terms & Conditions The Energy Saving Trust will provide fuel efficient driving training of approximately 50 minutes per employee at a location convenient to you. The Energy Saving Trust will also provide cars, insurance and fuel for those training and a certificate for each trainee. This application is for Scotland only – for England please contact smarterdriving@est.org.uk. Completed training is fully subsided by Transport Scotland so there is no cost to your organisation for this training. Each instructor can train 8 people per day so for ‘number of places’ overleaf, please book a multiple of 8. The minimum requirement is one day / 8 places. All training must be completed by 31 March 2016. The cost of the training is fully subsidised by Transport Scotland and is provided on the basis that you ensure 8 trainees are available for each day of training, at the agreed locations and times. If less than 6 trainees complete the training on the day, the training will be charged at the full day rate of £80 (+VAT) to cover the cost of the instructor/s. Your booking will be approved once the Energy Saving Trust receives this completed application form. Training dates will be confirmed once your booking has been approved. If the training is cancelled with fewer than 10 working days’ notice, there will be a cancellation fee of £80 + VAT per day to cover the cost of the instructor/s. Energy Saving Trust provides fully comprehensive insurance for the vehicles used for the training, but your company / organisation is liable for the policy excess, which is £500 per incident / claim (for repairs costing less than £500 your company will only be charged the actual cost of the repair). All drivers will be required to show both parts of their driving licences on the day of training. Some driving licence endorsements will preclude drivers from the training. Drivesense, our delivery partner, will send you a list of these endorsements before your training takes place. You remain responsible for your drivers’ reasonable behaviour during their training and unreasonable behaviour may result in drivers being precluded from training and for the cost of any damage being charged to your organisation. Please return to: FuelGood@est.org.uk Or post to: Transport Team, Energy Saving Trust, 2nd Floor Ocean Point One, 94 Ocean Drive, Edinburgh, EH6 6JH Data protection: For the purpose of this booking we will only share your contact and booking details with Drivesense Ltd, our delivery partner. The Energy Saving Trust may contact you in the future with information that we feel might interest you by email and telephone. If you do not wish to receive this information please tick here