OMB No 0596-0080
Expires 8/2010
Instructions: Mark “x” in the appropriate boxes.
Volunteer Application
For other items, either print or type responses
for Natural Resources Agencies
If extra space is needed use item 17.
1.
Name (Last, First, Middle)
2. Age
3. Telephone Number
4. Email Address
(
)
-
5. Street Address (include apartment no., if any)
6. City, State, and Zip Code
7. Which general volunteer work categories are you most interested in?
Archeology
Historical/ Preservation
Soil/ Watershed
Botany
Pest/Disease Control
Timber/Fire Prevention
Campground Host
Minerals/ Geology
Trail/Campground Maintenance
Construction Maintenance
Natural Resources Planning
Tour Guide/Interpretation
Computers
Office/Clerical
Visitor Information
Conservation Education
Range/Livestock
Other (Please specify
Fish/Wildlife
Research/Librarian
8. What qualifications/skills/experience/education do you have that you would like to use in your volunteer work?
Backpacking/Camping
Heavy Equipment Operation
Sign Language
Biology
Horses – Care/ Riding
Supervision
Boat Operation
Landscaping/Reforestation
Other Trade skills (Please specify)
Carpentry
Land Surveying
Clerical/Office Machines
Livestock/Ranching
Teaching
Computer Programming
Map reading
Working with People
Drafting/Graphics
Mountaineering
Writing/Editing
Driver’s License
Photography
Other (Please specify
First Aid Certificate
Public Speaking
Hand/Power Tools
Research/Librarian
9. Based on boxes checked in items 6 and 7, what particular type of volunteer work would you like to do? (Please
describe any specific qualifications, skills, experience, or education that apply.)
10 a. Have you volunteered before?
Yes
No
b. If Yes, please briefly describe your volunteer experience.
11. Would you like to supervise other volunteers?
Yes
No
12. What are some of your objectives for working as a volunteer? (Optional)
13. Please specify any physical limitations that may influence your volunteer work activities:
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Optional Form 301 (Revised 4/2001)
USDA-USDI