VOLUNTEER INFORMATION FORM
Volunteer Name …………………………………
Date of Birth……………………………………….
Address …………………………………………...
……………………………………………………….
……………………………………………………….
Post Code …………………………………………
Home phone number……………………………
Mobile phone number…………………………..
Work Phone number…………………………….
Email Address……………………………………
Name, Address and Telephone number of the person we should inform in the event of
an accident:
Name………………………………………………
Address…………………………………………..
………………………………………………………
Post Code………………………………………..
Home Phone Number………………………….
Mobile Phone Number…………………………
Please indicate if you intend to volunteer midweek, at weekends or both
If midweek, how often? …………………………………………
If weekends, how often?..........................................
SKILLS:
What skills/professional qualifications do you have?
1 ……………………………………………………………..
2 ……………………………………………………………...
3 ……………………………………………………………….
What Skills would you like to gain?
1 ……………………………………………………………….
2 ……………………………………………………………….
3 ……………………………………………………………….
Are you interested in operational work? YES/NO
If yes, which operation? (Driver, fireman, guard, please specify)
…………………………………………………………………………………
Would you be willing to attend specially designed courses held on the Railway? YES/NO
Are you a member of any of the railway societies? YES/NO
If yes, which ones?
1……………………………………………………………………….
2……………………………………………………………………….
3……………………………………………………………………….
Do you have any operational skills gained at other Railways? Yes/NO
If yes, which skills from which Railway?
1………………………………………………………………………..
2………………………………………………………………............
3………………………………………………………………………..
Do you have any operational skills gained at other railways? YES/NO
If yes, which skill from which railway(s)?
1……………………………….................
2…………………………………………….
3…………………………………………….
Are you interested in taking part in volunteer projects? YES/NO
KLR are happy to supply you with 1 embroidered polo shirt.
Please indicate your required size ____
By signing you are declaring the information above is accurate and you are happy for
KLR to capture your image and use it in future marketing and publicity material.
Sign……………………………………………….
Date……………………………………………….
Be safe and enjoy yourself!