OMB 0596-0080 

Volunteer Service Application OF301 USDA-USDI-DOC-DOD

VOLUNTEER SERVICE APPLICATION—NATURAL & CULTURAL RESOURCES

The volunteer application helps public lands officials and potential volunteers determine if there are volunteer opportunities that are a good match for the skills 

and interests identified. All volunteers are required to complete a volunteer agreement once they have identified and committed to a specific volunteer activity.

Mark  in the appropriate boxes and print or type all responses. 

1. Name (Last, First, Middle) 2. Age 3. Telephone Number

( ) -

4. Email Address

5. Street Address, Apt. # 6. City, State, and Zip Code

7. Which general categories are you most interested in volunteering? Check all that apply.

 Archaeology

 Botany 

 Campground/Site host 

Campground maintenance

 Construction maintenance 

 Computers 

 Conservation education

 GIS/GPS

 Fish/Wildlife 

 Historical/Preservation

 Pest/Disease control 

 Minerals/Geology 

 Natural resources planning 

 Office/Clerical 

 Range/Livestock 

 Research/Librarian 

 Soil/Watershed

 Timber/Fire prevention

 Trail maintenance

 Tour guide/Interpretation

 Visitor information

 Other (Please specify) 

8. What qualifications, skills, or experiences do you have that you would like to use as a volunteer? Check all that apply.

 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 or GIS/GPS 

 Mountaineering 

 Photography 

 Public speaking 

 Research/Librarian 

 Sign language 

 Supervision

 Other trade skills (Please specify)

 Teaching

 Working with people

 Writing/Editing

 Other (Please specify) 

9. If you have a specific volunteer interest, please identify and describe your qualifications, skills, experiences, or education that

may apply.

10. Are you a United States Citizen? Yes No (If no, additional information may be required)

11. a. Have you volunteered before? Yes No

b. If yes, please list the organization where you volunteered with a contact name and phone # or email address, and briefly

describe what you did.

12. Would you like to supervise other volunteers? Yes No 

13. What are some of your objectives for volunteering? (Optional)
OMB 0596-0080

Volunteer Service Application OF301 USDA-USDI-DOC-DOD

14. Please list any physical limitations that may impact your volunteer activities.

15. a. Which months are you available to volunteer? Check all that apply.

 January 

 July 

 February 

 August 

 March 

 September 

 April 

 October 

 May 

 November 

 June 

 December

15b. How many hours per week would you be available for volunteer work? Hours 

15c. Which days are you available to volunteer? Check all that apply.

 Monday Tuesday Wednesday Thursday Friday Saturday Sunday 

16. Specify states or locations where you would like to volunteer.

17. Specify your lodging needs:

 I will furnish my own lodging (such as tent; camper; own, relative’s, or friend’s place)

 I will require assistance in finding lodging

18. If a volunteer assignment is not available at the location specified in box #16, do you want your application forwarded to 

another location or Federal agency seeking volunteers with your background or interests?

 Yes No (Please specify) 

19. How did you hear about this volunteer opportunity? Check all that apply. 

 Volunteer.gov Brochure

 Other internet or website Volunteer fair or event 

 Advertisement Other (Specify)

 Word of mouth (friend, colleague, family member)

Public Burden Statement

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information 

unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0596-0080. The time required to complete this 

information collection 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. USDA, DOI, DOC and DOD prohibit discrimination in all programs 

and activities on the basis of race, color, national origin, gender, religion, age, disability, political beliefs, sexual orientation, and marital or family status. Not all 

prohibited bases apply to all programs.

Notice to Volunteer

Volunteers are not considered 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. By signing this application the volunteer(s) understand(s) s/he may be 

subject to a reference check, background check, and/or criminal history inquiry.

Privacy Act Statement

Collection and use is covered by Privacy Act System of Records OPM/GOVT-1 and USDA/OP-1, and is consistent with the provisions of 5 USC 552a (Privacy Act of 

1974), which authorizes acceptance of the information requested on this form. The data will be used to maintain official records of volunteers of the USDA and 

USDI for the purposes of tort claims and injury compensation. Furnishing this data is voluntary, however if this form is incomplete, enrollment in the program 

cannot proceed.

20. Signature 21. Date