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OMB No 0596-0080
Expires 8/2010
09/22/2008 12:45 PM
DOWNLOAD APPLICATION FORM

Interpretive Host Volunteer Application

Volunteer Application
for Natural Resource Agencies

Instructions: Please complete this form and then click the Review button. If you have more than one Volunteer Position in your Volunteer Folder, you need only complete one application form. Your information will be included for each position for you to review.

1. Last Name	First Name	Middle

2. Age

3. Telephone Number

4. Email Address

5. Street Address 1	Address 2 (include apartment no., if any)

6. City	State	Zip Code

7. Which general volunteer work categories are you most interested in?
Tour Guide/Interpretation Visitor Information

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
Carpentry	Land Surveying	Teaching
Clerical/Office Machines	Livestock/Ranching	Other Trade Skills
Computer Programming	Map Reading	Working with People
Drafting/Graphics	Mountaineering	Writing/Editing
Driver's License	Photography	Other
First Aid Certificate	Public Speaking
Hand Power Tools	Research/Librarian

9. Based on boxes checked in items 7 and 8. 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

14a. Which months would you be available for volunteer work?
JAN   FEB   MAR   APR   MAY   JUN
JUL   AUG   SEP   OCT   NOV   DEC
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?
MON   TUE   WED   THU   FRI SAT   SUN

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, relatives', or friends' place)
I will require assistance in finding lodging

17. If a volunteer assignment is not available at the Interpretive Host, do you want your application forwarded to another location or Federal agency seeking volunteers with your background/interests?
Yes. Please forward my application. No. Do not forward my application.

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, Clearance Officer, OIRM. Room 404-W, Washington DC 20250; 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.

Optional Form 301 (Revised 8/2004)

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