America’s Natural and Cultural Resources Volunteer Portal
VOLUNTEER APPLICATION
Lake Ouachita
You are applying for:
POSITION:
Lake Ouachita
SITE:
Park Host
OMB No 0596-0080 Expires 8/2010
Download Application Form
Volunteer Application
for Natural Resource Agencies
Instructions:
Please complete this form and then click the Review button.
*
Required Information
1. Last Name
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First Name
*
Middle
2. Age
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12
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90
3. Telephone Number
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4. Email Address
*
5. Street Address 1
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Address 2 (include apartment no., if any)
6. City
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State
*
Zip Code
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Mariana Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Virgin Islands
Washington
West Virginia
Wisconsin
Wyoming
7. Which general volunteer work categories are you most interested in?
*
Campground Host
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
Lake Ouachita
, 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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