Send this to:

FAVOR Florida Keys
P.O. Box 431840
Big Pine Key, FL 33043-1840

Florida Keys National Wildlife Refuges
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

Administrative Support

Computer Skills: oYes   oNo

Office Work:

oDistributing Flyers oWriting/Editing oVisitors Center Desk

oAnswering Phones  oTelephoning Volunteers 

Natural Area Management

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 Outreach

Public Speaking:

oGuided Walks    oBlue Hole Staffing  oAudio-Visual Presentations 

oBike Tours    oAssisting at Special Event Booths  oChildren Programs

Advocacy:

oGrant Writing    oFundraising  oLegislative affairs    oPublic Relations

Event Planning/Hosting Activities:

oPlanning field trips and outing for volunteers  

oProviding homemade goodies for events

Please check if you can assist with:

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.___________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
 

 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