Fillable Dd Form 2793 - Volunteer Agreement printable pdf download

VOLUNTEER AGREEMENT FOR

APPROPRIATED FUND ACTIVITIES

NONAPPROPRIATED FUND INSTRUMENTALITIES

PART I - GENERAL INFORMATION

1. TYPED NAME OF VOLUNTEER

2. YEAR OF BIRTH

(Last, First, Middle Initial)

3. INSTALLATION

4. ORGANIZATION/UNIT WHERE SERVICE OCCURS

5. PROGRAM WHERE SERVICE OCCURS

6. ANTICIPATED DAYS OF WEEK

7. ANTICIPATED HOURS

8. DESCRIPTION OF VOLUNTEER SERVICES

PART II - VOLUNTEER IN APPROPRIATED FUND ACTIVITIES

9. CERTIFICATION

I expressly agree that my services are being provided as a volunteer and that I will not be an employee of the United States

Government or any instrumentality thereof, except for certain purposes relating to compensation for injuries occurring during the

performance of approved volunteer services, tort claims, the Privacy Act, criminal conflicts of interest, and defense of certain suits

arising out of legal malpractice. I expressly agree that I am neither entitled to nor expect any present or future salary, wages, or other

benefits for these voluntary services. I agree to be bound by the laws and regulations applicable to voluntary service providers and

agree to participate in any training required by the installation or unit in order for me to perform the voluntary services that I am

offering. I agree to follow all rules and procedures of the installation or unit that apply to the voluntary services I will be providing.

a. SIGNATURE OF VOLUNTEER

b. DATE SIGNED (YYYYMMDD)

10.

a. TYPED NAME OF ACCEPTING OFFICIAL

b. SIGNATURE

c. DATE SIGNED (YYYYMMDD)

(Last, First, Middle Initial)

PART III - VOLUNTEER IN NONAPPROPRIATED FUND INSTRUMENTALITIES

11. CERTIFICATION

I expressly agree that my services are being provided as a volunteer and that I will not be an employee of the United States

Government or any instrumentality thereof, except for certain purposes relating to compensation for injuries occurring during the

performance of approved volunteer services and liability for tort claims as specified in 10 U.S.C. Section 1588(d)(2). I expressly agree

that I am neither entitled to nor expect any present or future salary, wages, or other benefits for these voluntary services. I agree to

be bound by the laws and regulations applicable to voluntary service providers, and agree to participate in any training required by the

installation or unit in order for me to perform the voluntary services that I am offering. I agree to follow all rules and procedures of the

installation or unit that apply to the voluntary services that I am offering.

a. SIGNATURE OF VOLUNTEER

b. DATE SIGNED (YYYYMMDD)

12.

a. TYPED NAME OF ACCEPTING OFFICIAL

b. SIGNATURE

c. DATE SIGNED (YYYYMMDD)

(Last, First, Middle Initial)

PART IV - TO BE COMPLETED AT END OF VOLUNTEER'S SERVICE BY VOLUNTEER SUPERVISOR

14. SIGNATURE

15. TERMINATION DATE

13. AMOUNT OF VOLUNTEER TIME DONATED

(YYYYMMDD)

a. YEARS (2,087

b. WEEKS c. DAYS

d. HOURS

hours=1 year)

16.

a. TYPED NAME OF SUPERVISOR

b. SIGNATURE

c. DATE SIGNED (YYYYMMDD)

(Last, First, Middle Initial)

DD FORM 2793, MAY 2009

PREVIOUS EDITION IS OBSOLETE.

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Dd Form 2793 - Volunteer Agreement

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