Intensive Driver Behaviour Change Program

Intensive Program  Note alternative program delivery because of COVID-19 Virus

***IMPORTANT INFORMATION***
Please read before proceeding

THIS PAGE IS FOR BOOKING INTO THE INTENSIVE DRINK/DRUG DRIVER BEHAVIOUR CHANGE PROGRAM.   PLEASE CHECK YOUR LETTER FROM VICROADS CAREFULLY, OR CALL THEM ON 1300 723 790, BEFORE PROCEEDING TO ENSURE YOU ARE BOOKING INTO THE CORRECT PROGRAM.

Please be advised that this application for the Intensive Behaviour Change Program requires payment of either the full course fee ($800.00) or the Concession Fee ($740.00) in order to be successfully submitted.  Fees include a VicRoads recovery fee.

Odyssey House is continuing to provide the Drink/Drug Driver Intensive Behaviour Change Programs in ways that minimises the risk of spreading the COVID-19 virus.

The program will be delivered using methods such as web-conferencing for group sessions and telephone for screening and one to one sessions.

To participate in group sessions using web-conferencing, participants will need to have access to a laptop or desktop computer plus the application Zoom or Skype. Zoom may be downloaded for free.   It is preferable that participants use Google chrome as their internet browser.

If you do not pay via the PayPal option given at the end of this application, we will not receive your information and you will not have a reservation into this program.  

The revised delivery methods replace the original four-week face to face program.  Week 1 will involve a group session; followed by one-to-one sessions between each participant and our facilitator. On the third and fourth weeks, you will participate in groups following your one to one session.   In order to participate via these revised arrangements you must be available for all sessions and agreed program times in order to complete the program.  Please ensure you can be contacted via your nominated phone number to enable us to conduct screening prior to the program and or via email to finalise the booking. You must respond to us  2 weeks before the commencement of the program in order to be eligible to participate. Please make sure you check your phone and email regularly.

You must attend all of these sessions in order to successfully complete the program.  Failure to do so means you will forfeit all fees paid.

If you have any questions about this, or would like to discuss your application over the phone, please contact the Program Coordinator on (03) 8537 7115 or 0468 514 183.

Application for Intensive Driver Behaviour Change Program

Thank you for choosing Odyssey House Victoria as your provider for this program.

We will confirm your booking as soon as possible after you register and make the payment.
 
If you have any questions, please contact us via email at: driverbchange@odyssey.org.au or by phone on 03 8537 7115

Once your application is accepted, you will be re-directed to the payment page for payment by credit/debit card or via PayPal account for the full fee rate of $800.00 or the concession rate of $740.00 (for eligible concession card holders).

Surname
First Name
Gender
Mobile Number
E-mail Address
Street Number & Name
Suburb
Post Code
State
Is another person making the payment?
Email of other person making the payment
Mobile Number of other person making the payment
Organisation contact detail - if other person making payment
How did you hear about us?
If "Other", please comment
Are you eligible for a concession discount?
If eligible for a concession discount:

Please attach a scanned copy or photo of your Eligible Concession Card. (Valid Healthcare Card, Pensioner Concession Card or Seniors Health Card)

Please note: This concession card will need to be presented on the first day of the course. If not, the full price difference will need to be paid at that time.
Date of Birth
License /VicRoads Client Number

(Note:  Your License Number may be located on your driver's license/learner's permit.  Alternatively, your Client Number can be located on your letter from VicRoads advising you to complete the Program.  Please contact VicRoads if you have difficulty obtaining this information.)

One-on-one appointments - Week 2

Please be advised that on Week 2 of your Intensive Driver Behaviour Change Program, you are to participate in a one to one session with your facilitator via phone. This will be of 1.5 hours' duration.  You will be advised of the day and time for this part of your program by the facilitator or the coordinator prior to commencing the program. To finalise your appointment time now you can contact the BCP Coordinator on (03) 8537 7115 or 0468 514 183 or by email to driverbchange@odyssey.org.au to arrange an appointment; alternatively, we will contact you to arrange an appointment no later than 1 week before the start of your Program.

If you are uncertain of your availability on these dates and need to schedule an appointment time with us directly, please contact us first via phone or email.

Additional information to help us

On this page we ask some questions to assist us to ensure the program meets your needs.
How did you hear about us?
Please outline if you answered Other above
Tell us about your English language skills 
Please tell us about your experience or understanding of small group work
Tell us about your skills in using computers and web-conferencing
Please tell us about how urgent it is for you to participate in the program
If you answered urgent to the question above please tell us why it is urgent
Please tell us about any nervous or mental health issues
PARTICIPANT ACKNOWLEDGEMENT AND CONFIRMATION OF UNDERSTANDING OF PROGRAM REQUIREMENTS
I confirm and agree to: 
Please enter your name here as a form of digital signature agreeing to the above.

Payment

Note:  If you don't process payment at this stage, we will not receive your application and you will not have reserved a spot in this course.

If you are claiming an eligible concession, you must submit a scanned copy or photo of your concession card in the previous page of application.  Presentation of that eligible concession will be required on the first day of this course or the full fee price will need to be paid.

Applicants who have not paid their full course fees will not be able to reserve a spot in this course.

We require five business days' notice of any changes to your nominated course dates - or you may forfeit your course fees.  See our full policy regarding course changes, cancellations at https://www.odyssey.org.au/what-we-do/drink-and-drug-driving-education/.
Payment Options
Intensive Drug BCP Full Fee 		$800.00
Intensive Drug BCP Concession Fee 		$740.00
$800.00
$0.00
$800.00