OMB No 0596-0080                                                                                                                                                                                                                                   Expires 8/31/07
Volunteer Application
for Natural Resources Agencies	Instructions:  Mark “x” in the appropriate boxes.
For other items, either print or type responses
If extra space is needed use item 18.	
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 
    Botany       
    Campground Host   
    Construction Maintenance   
    Computers                     
    Conservation Education
    Fish/Wildlife                                                                                                               	  Historical/ Preservation
  Pest/Disease Control 
  Minerals/ Geology 
  Natural Resources Planning    
  Office/Clerical   
  Range/Livestock                                                             
  Research/Librarian                                     	  Soil/ Watershed
  Timber/Fire Prevention
  Trail/Campground Maintenance
  Tour Guide/Interpretation
  Visitor Information
  Other (Please specify)      
	
8. What qualifications/skills/experience/education do you have that you would like to use in your volunteer work?	
   Backpacking/Camping 
   Biology                       
   Boat Operation 
   Carpentry                                                                                          
   Clerical/Office Machines     
   Computer Programming         
   Drafting/Graphics                
   Driver’s License          
   First Aid Certificate             
   Hand/Power Tools                                       	  Heavy Equipment Operation     
  Horses – Care/ Riding         
  Landscaping/Reforestation       
  Land Surveying                                                Livestock/Ranching  
  Map reading                                              Mountaineering              
  Photography                                                                 
  Public Speaking    
  Research/Librarian                           	  Sign Language 
  Supervision
  Other Trade skills (Please specify) 
     

  Teaching
  Working with People
  Writing/Editing
  Other (Please specify)      
 	
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: 
     	
                                                                                               Page 1 of 2                                                              Optional Form 301 (Revised 8/2004)       
                                                                                                                                            USDA-USDI
14a. Which months would you be available for volunteer work?      	
  January   
  July                                        	  February 
  August                                      	  March                    September          	  April     
  October                             	  May   
  November                        	  June  
  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 15, 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, Attention: Clearance Officer, 1621 N. Kent Street, Room 800 RPE, Arlington, Virginia, 22209; 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 8/2004)