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FAVOR Florida
Keys
Big Pine
Volunteer Interest Form
Name:_____________________________________________________________________________
First Middle Initial Last Suffix
Spouse
or Partner Living at Same Address:_________________________________________
Mailing
Address:__________________________________________________________________
___________________________________________________________________________________
Home
Phone:______________________________________________________________________
Email
Address:_____________________________________________________________________
Emergency
Contact:________________________________________________________________
Emergency
Phone:_________________________________________________________________
What is your residency
status? oYear Round oSeasonal oVisitor
Areas where you will
volunteer: oUpper Keys oMiddle Keys oLower Keys
Are you
employed/self-employed: oFull-Time oPart-Time oRetired
Computer Skills: oYes oNo
Office Work:
oDistributing Flyers oWriting/Editing oVisitors Center Desk
oAnswering Phones oTelephoning
Volunteers
Maintenance:
oNative Plant Restoration oTrail
Maintenance oMooring Buoys
oTrash Cleanups oConstruction oExotic
Vegetation Removal
Natural Resources:
oPrescribed Burn Assistance oScuba
Diving oTaking Water Quality Samples
oWildlife Work oMarine
Resources oPhotography oWatering Vegetation
oSnorkeling
Public Speaking:
oGuided Walks oBlue Hole Staffing oAudio-Visual
Presentations
oBike
Advocacy:
oGrant Writing oFundraising oLegislative affairs oPublic Relations
Event Planning/Hosting
Activities:
oPlanning field trips and outing for volunteers
oProviding homemade goodies for events
Providing free or
discounted recreational activities for long-term
out-of-town volunteers on assignment:
oFishing oSnorkeling oScuba Diving oKayaking/Canoeing
oBackcountry Trips oSwimming Parties oCookouts/Refreshments
Boat Owners and operators
familiar with local waters are needed to provide
transportation and crew support for scientists and volunteers:
oI will volunteer my boat (fuel reimbursement
available)
oI do not have a boat to offer, but am
experienced in Florida Keys waters and
qualified to operate boats.
Specify your
lodging requirements:
oI will require assistance in finding lodging.
oI will furnish my own lodging (such as tent,
camper, trailer, own, relative’s
or friend’s place.)
Have you
volunteered before? oYes oNo
If yes, please briefly
describe your volunteer experience.___________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
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Notice to Volunteer
Volunteers are not
considered to be Federal employees for any purposes other than
tort claims and injury compensation.
Volunteer services are 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.
______________________________________________________________/____/____/________
Signature (Sign in ink) Date
Last modified:
October 13, 2006