Volunteer.gov/gov-America's Natural & Cultural Resources

America’s Natural and Cultural Resources Volunteer Portal

VOLUNTEER APPLICATION 3SF: El Porvenir Campground Host

You are applying for: POSITION: 3SF: El Porvenir Campground Host SITE: Santa Fe National Forest	OMB No 0596-0080 Expires 12/2013
	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 *	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? *

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. Are you a United States Citizen? Yes No (NON-US CITIZENS: click HERE for additional information)

11. a. Have you volunteered before? Yes No b. If Yes, please briefly describe your volunteer experience.

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

13. What are some of your objectives for working as a volunteer? (optional)

14. Please specify any physical limitations that may influence your volunteer work activities *

15a. Which months would you be available for volunteer work? *

JAN   FEB   MAR   APR   MAY   JUN   JUL   AUG   SEP   OCT   NOV   DEC
15b. How many hours per week would you be available for volunteer work? *   Hours

15c. Which days per week would you be available for volunteer work? *

MON   TUE   WED   THU   FRI SAT   SUN

16. Specify at least three states or specific locations within a state where you would like to do volunteer work

17. 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

18. If a volunteer assignment is not available at the 3SF: El Porvenir Campground 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.

19. This is provided for more detailed responses. Please indicate the item numbers to which these responses apply

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.

The U.S. Department of Agriculture (USDA) and U.S. Department of the Interior 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.) Persons with disabilities who require alternative means for communication of program information (Braille, large print, audiotape, etc.) should contact USDA's TARGET Center at 202- 720-2600 (voice and TDD).

To file a complaint of discrimination, write USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW, Washington, DC 20250-9410 or call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA and USDI are equal opportunity providers and employers.

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.

Optional Form 301 (Revised 6/2008)
USDA-USDI

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