Prohibited Activities. Volunteers will not be assigned active law enforcement duties or other
duties restricted by permit or Service regulations or standards.
It is understood that volunteers are NOT considered to be Federal employees for any purpose
other than tort claims and injury compensation. Volunteer service is not creditable for leave
accrual or any other employee benefits.
Termination
This Agreement may be terminated by mutual agreement or by either party provided at least five
working days notice is given.
Approved
(Individual Volunteer or Group Representative)
(Educational Institute Representative, if applicable)
(Volunteer Coordinator or Supervisor)
Date:
Date:
Date:
Date of termination of volunteer service:
Check here if an evaluation of volunteer work is desired.
Please identify any physical or mental condition (including allergies and medication you are
taking) which might affect your performance or which should be brought to the attention of the
Fish and Wildlife Service to enable them to treat you in an emergency situation. Disclosure of
this information will not disqualify you from volunteer service. (e.g., Are you a diabetic or
epileptic; are you allergic to insect bites, chemicals, poison ivy, other?)
Name of person to contact in case of emergency
Address
Telephone No. (including area code) home office
Relation to you (e.g., mother, father, friend)
FWS Form 3-2148
Rev 03/02
