French Lick Scenic Railway - Volunteer application

Personal Information

Name: (last, first, middle)

Nickname:

Address:

City:

State:

Zip Code:

County:

Home Phone:

Work Phone:

Other Phone: (mobile)

E-mail Address:

Date of Birth: (month/day/year)

Are you an ASSOCIATE or ACTIVE MEMBER?

If so, what type of membership do you hold?

Education

Level of Education

Institution Name

Degree

Field of Major Study

High School

Undergraduate

Graduate

Post Graduate

Do you speak any other language other than English?

If so, which?

Do you know sign language?

Emergency Contact (please fill out completely)

Name:

Relationship:

Address:

City:

State:

Zip Code:

County:

Home Phone:

Work Phone: Other Phone: (mobile)

Employment Information (if retired, please list your last place of employment)

Choose One:

Employer: (if student, list school and major)

Address:

City:

State:

Zip Code:

County:

Phone:

Please list any current or previous volunteer activities:

Do you have any family or friends working for or volunteering at the French Lick Scenic Railway Museum?

If YES, who?

Areas of Opportunity

Please list your areas of interest in order of preference: ( #1 being the most interested)

Administrative:

**Rail Operations:

Education:

**Restoration

Collections:

Visitor Services:

**Volunteer opportunities in these areas are limited and require special skills as well as additional training.

What skill could you contribute as a volunteer? (i.e. computer skills, public speaking, welding, metal work, woodwork, etc.)

Do you have any prior experience in railroading? (i.e. engineer, conductor, track maintenance, restoration, etc.) If so please list details such as what and with whom.

Availability

Please indicate the days of the week and the times during those days that you are available for volunteer work.

Monday:

Tuesday:

Wednesday:

Thursday:

Friday:

Saturday:

Sunday:

If you are a new volunteer, how did you learn about the volunteer program at the French Lick Scenic Railway Museum? (please list all ways that apply)

Questionnaire

Have you ever been known by any other name?

If yes, please list:

Have you ever been dismissed from any other volunteer program?

Have you ever been convicted of a misdemeanor, felony, or DUI?

If you answered YES to any of the above questions, please explain. (An answer of YES may not necessarily exclude you from volunteering)

By clicking on the submit button, you hereby understand and agree to the following:

I understand that I will not be compensated working as a volunteer at the Indiana Railway Museum. I also understand that working as a volunteer that I am subject to the rules and regulations of the Indiana Railway Museum.

I hereby assume all risks of any and all personal injury and/or death and/or loss of or damage to

me or my property while I am on, in or near any railroad property, engine, car or vehicle owned by the

Indiana Railway Museum, Inc. This includes the area surrounding the depot in French Lick, the freight

station, the line running from French Lick to Dubois, and all areas of railroad property not specifically

mentioned.

I do forever acquit, release, and discharge the Indiana Railway Museum, Inc. and any of their

successors, assignees, officers, and employees from any and all liability of whatsoever character for any

and all personal injuries, deaths, or loss of or damage to property that may be sustained by me while I am

on or about the tracks or other premises incidental to any kind of activity no matter how said injuries or

damage may arise and this waiver shall apply even if said injury, damage, or death results from active or

passive, sole or concurrent negligence of personnel attached to or employed by the Indiana Railway

Museum.