Student Details
Name
Licence Number
Licence Expiry Date
Registration Number
Address
Postcode
Phone Number
Email Address
Date of Lesson
Instructor Details
Instructor Name
Instructor Licence Number
Instructor Number
Driving School Name
Lesson Details
Lesson Start Time
Lesson Finish Time
Transmission AutoManual
Lesson Location / Route
Lesson Preparation
Resources Required
Learner Driver Needs
Location / Environment
Introduction
Reasons for Learning
Learning Goals to be Covered During the Lesson
Revision
Revision / Previous Learning
Main Body
Explain Key Points
Instructor Demonstration
Student Practice
Feedback to Student
Recap Key Points
Strengths & Areas for Development
Identify Student Strengths
Areas for Further Development
Comments
Prepared Lesson Plan
Has a Prepared Lesson Plan Been Used? NoYes
Plan Reference Number
Signatures & Confirmation
Student Signature
Instructor Signature
My strengths and areas for development have been explained to me.
