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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? [ ]Year Round [ ]Seasonal [ ]Visitor
Areas where you will
volunteer: [ ]Upper Keys [ ]Middle Keys [ ]Lower Keys
Are you
employed/self-employed: [ ]Full-Time [ ]Part-Time [ ]Retired
Computer Skills: [ ]Yes No [ ]
Office Work:
[ ]Distributing Flyers [ ]Writing/Editing [ ]Visitors Center Desk
[ ]Answering Phones [ ]Telephoning
Volunteers
Maintenance:
[ ]Native Plant Restoration [ ]Trail
Maintenance [ ]Mooring Buoys
[ ]Trash Cleanups [ ]Construction [ ]Exotic
Vegetation Removal
Natural Resources:
[ ]Prescribed Burn Assistance [ ]Scuba
Diving [ ]Taking Water Quality Samples
[ ]Wildlife Work [ ]Marine
Resources [ ]Photography [ ]Watering Vegetation
[ ]Snorkeling
Public Speaking:
[ ]Guided Walks [ ]Blue Hole Staffing [ ]Audio-Visual
Presentations
[ ]Bike
Advocacy:
[ ]Grant Writing [ ]Fundraising [ ]Legislative affairs [ ]Public Relations
Event Planning/Hosting
Activities:
[ ]Planning field trips and outing for volunteers
[ ]Providing homemade goodies for events
Providing free or
discounted recreational activities for long-term
out-of-town volunteers on assignment:
[ ]Fishing [ ]Snorkeling [ ]Scuba Diving [ ]Kayaking/Canoeing
[ ]Backcountry Trips [ ]Swimming Parties [ ]Cookouts/Refreshments
Boat Owners and operators
familiar with local waters are needed to provide
transportation and crew support for scientists and volunteers:
[ ]I will volunteer my boat (fuel reimbursement
available)
[ ]I do not have a boat to offer, but am
experienced in Florida Keys waters and
qualified to operate boats.
Specify your
lodging requirements:
[ ]I will require assistance in finding lodging.
[ ]I will furnish my own lodging (such as tent,
camper, trailer, own, relative’s
or friend’s place.)
Have you
volunteered before? [ ]Yes [ ]No
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