Optional Form 301 - Volunteer Application For Natural Resources Agencies Page 2
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214a. Which months would you be available for volunteer work?
January
February
March
April
May
June
July
August
September
October
November
December
14b. How many hours per week would you be available for volunteer work? Hours
14c. Which days per week would you be available for volunteer work?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
15. Specify at least three states or specific locations within a state where you would like to do volunteer work.
16. Specify your lodging requirements:
I will furnish my own lodging (such as tent; camper; own, relative’s, or friend’s place)
I will require assistance in finding lodging
17. If a volunteer assignment is not available at the location specified in item 14, do you want your application forwarded
to another location or Federal agency seeking volunteers with your background/interest?
Yes
No (Please specify)
18. This is provided for more detailed responses. Please indicate the item numbers to which these responses apply:
Public Burden Statement
Public reporting burden for this collection of information is estimated to average 15 minutes per response, including the time for
reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the
collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including
suggestions for reducing this burden, to Department of Agriculture, Forest Service, 1621 N. Kent Street, Room 800 RPE, Arlington, VA
Attention: Clearance Officer; and to the Office of the Management and Budget, Paperwork Reduction Project (OMB# 0596-0080),
Washington, DC 20503.
Notice to Volunteer
Volunteers are not considered to be Federal employees for any purposes other than tort claims and injury compensation. Volunteer
service is not creditable for leave accrual or any other benefit. However, volunteer service is creditable work experience.
Privacy Act Statement
Following information is provided to comply with the Privacy Act (PL 93-579). 5 U.S.C. 301 and 7 CFR 260 authorize acceptance of the
information requested on this form. The data will be used to contact applicants and to interview, screen, and select them for volunteer
assignments. Furnishing this data is voluntary.
18. Signature (Sign in ink)
19. Date
Page 2 of 2
Optional Form 301 (Revised 4/2001)
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