TRAFFIC OFFENDERS PROGRAM (TOP) INC – GUIDELINES
P O Box 6660 Blacktown 2148 www.trafficoffenders.com.au ABN 55 177 844 644
Updated 5th November 2007
The Traffic Offenders Program is held at The Hills Sports High School, Best Rd, Seven Hills and presentations are on THURSDAY NIGHTS between 7.00 pm and 9.00 pm. I also understand I am consenting to the Traffic Offenders Program (TOP) Inc being given future access (for statistical purposes) to my licensing details and driving offence records held by the NSW RTA.
I undertake to attend each week for a total of 7 (seven) nights during the above hours.
EXCEPTION – in the case of illness I will contact the Co-ordinator and notify him of my absence.
A MEDICAL CERTIFICATE MUST BE PRODUCED WHEN YOU ARE ABSENT THROUGH ILLNESS.
I ALSO UNDERSTAND:
1. That my attendance is on a voluntary basis and in the event of being absent I will have to attend for an additional session for the
particular session missed, IF A VACANCY IS AVAILABLE.2. I must bring photo ID with me each week and show it when I sign the attendance register.
3. If I do not comply with this agreement I can be placed back before the Court for its determination.
4. I must bring a PEN and NOTEBOOK to record information from each of the 8 (eight) presentations.
5. I must complete an assignment following each session and hand it to the Co-ordinator at the following presentation.
Assignments that are not up to standard will be returned as unacceptable.6. I may elect to return to Court without completing the full course and if I do so, I must advise the Co-ordinator.
The Co-ordinator may also elect, for any reason, to cancel my attendance at the Program.7. I will arrive 30 MINUTES before EACH SESSION. NOTE: We WILL NOT allow entry once the presentation has
commenced.8. I must not consume alcohol or drugs on any day I attend TOP. I give my consent to be voluntarily breath tested.
If I fail the test I will be terminated from the Program and sent back to Court..9. I must display an acceptable standard of behaviour while at the Program.
10. ALL MOBILE PHONES MUST BE SWITCHED OFF IN THE HALL, NO EXCEPTIONS.
I acknowledge receipt of a copy of this form and I agree to abide by the above requirements.
SIGNATURE OF OFFENDER: ------------------------------------------- DATE: ---------/---------/----------
**********The following information MUST be completed by the Court.**********
FIRST NAME: --------------------------------------------------- FAMILY NAME: ---------------------------------------------------------
ADDRESS: --------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------- P/CODE: --------------------------
DATE OF BIRTH: --------/--------/-------- SEX: Male ¨ Female ¨ PHONE: ---------------------------
OFFENCE/S: -------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------
LICENCE NO: ---------------------------- (No. required even if Driving while Disqualified)
COMMENCE DATE: --------/--------/-------- RETURN TO COURT: --------/--------/-------- COURT IDENTIFICATION STAMP HERE
Please start offender on the Thursday after appearing in Court.
NOTE: Offender to confirm commencement date with Co-ordinator.
Graham Symes (Co-ordinator) (M): 0418 494 022 (F): 4934 2042
TOP IS PROUDLY SPONSORED BY BLACKTOWN RSL CLUB
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Traffic Offenders Program Advisory Board was established on 2nd September 1998 by the Rotary Club of Blacktown City Inc.
