Headline - Travelplan resource pack

6g Sample Car Share Scheme Registration Form

Attached is a sample of Car Share Scheme Registration Form. Whilst it shows all of the relevant questions to ask, there are several other things that you will need to distribute to potential car sharers, either as part of a pack or as a leaflet:

  • An explanation of what car sharing is, noting how flexible the scheme can be
  • Why your organisation is starting a scheme up
  • An explanation of the benefits of car sharing (including any incentives that your organisation is offering and how to take advantage of them)
  • Guidelines for behaviour/Code of conduct/frequently asked questions. In this section you might want to discuss such issues as how much car sharers offer towards the cost of petrol, what to do if you are unable to car share, insurance implications, etc.
  • An assurance to all participants that their details will be kept in the strictest confidence and only used for the purposes of car sharing. Also note that only their work contact details will be given out to other sharers
  • A return address for the completed form
  • Contact details for the administrator of the scheme, in case anybody has a query

For more details on car sharing see Section 3h: Car Sharing to Reduce Car Journeys.


Sample Car Share Scheme Registration Form All information will be treated in the strictest confidence.

It will only be used to find a suitable car sharer.

Title _______
First name ________________
Surname _____________________
   
Home Details  
Street _______________________________
Town _______________________________
Postcode ________________
   
Work Details  
Department _______________________________
Site _______________________________
Telephone ________________
   
Working Patterns  
Please circle the days that you normally come to work:
   
  Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday


What are your normal working hours?

Office hours:
Start __________ Finish __________

Shift hours:
Start __________ Finish __________
Start __________ Finish __________
Start __________ Finish __________

 

Sharing options As a driver Y N
As a passenger Y N
With opposite sex Y N
With smoker Y N
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