PRESIDIO TRUST AGREEMENT FOR INDIVIDUAL OR GROUP DONATED SERVICES
VOLUNTEER or VOLUNTEER GROUP LEADER INFORMATION
1. FULL LEGAL NAME
2. PREFERRED NAME
(optional)
3. PREFERRED EMAIL ADDRESS
4. PREFERRED PHONE
5. BIRTH DATE
6. ZIP CODE
EMERGENCY CONTACT INFORMATION
7. FULL NAME
8. PREFERRED PHONE / EMAIL
DESCRIPTION OF DONATED SERVICES
9. VOLUNTEER POSITION TITLE: Presidio Steward
10. VOLUNTEER WORK DESCRIPTION: Natural and cultural resource stewardship. Common activities include
planting, watering, and weeding; clearing and moving brush, compost/mulch, debris, or litter; constructing or adjusting
park features; plant nursery activities; and loading/unloading tools and materials. Commonly uses non-power tools.
Presidio Trust representatives may indicate additional details of the volunteer activities to be performed.
VOLUNTEER & VOLUNTEER GROUP LEADER AFFIRMATION
11. I understand that I will not receive any compensation for the above work and that volunteers are not considered to
be federal employees for any purpose other than possibly for tort claims and injury compensation.* I understand that
donated service is not creditable for leave accrual or any other employee benefits and that either the Presidio Trust or I
may cancel this agreement at any time by notifying the other party. I understand that my volunteer position may require
a reference check, background investigation, and/or a criminal history inquiry in order for me to perform my duties. I
understand that donated service is not a pre-qualification or entitlement for any future contract or monetary arrangement
with the Presidio Trust. I understand that photographs or videos may be taken while I am serving under this Agreement
and used by the Presidio Trust or its partners and distributed throughout various media including the internet for
administrative purposes. Unless I request in writing restricted use of any such photographs or videos, they may be so
used by the Presidio Trust without further notice. I understand that all publications, films, slides, videos, artistic or similar
endeavors, resulting from my volunteer services as specifically stated in the attached position description, will become
the property of the United States, and as such, will be in the public domain and not subject to copyright laws. I
understand that by providing my email address, I will be added to the Presidio Volunteer Update e-newsletter and
understand that I can unsubscribe at any time.
I further understand the health and physical condition requirements for doing the work as described in the position
description above (#10) and at the project location, and certify that the statements I have checked below are true:
I or group’s leader know of no medical condition or physical limitation that may adversely affect my or members of
the group’s ability to provide this service.
I or member(s) of the group have a medical condition or physical limitation that may adversely affect my or members
of the group’s ability to provide this service and have informed the Presidio Trust.
*Status as a federal employee for purposes of tort claims and injury compensation is subject to a determination based on the
particular factual circumstances of any claim or injury.
Pursuant to Section 104(e) of the Presidio Trust Act, I do hereby volunteer my services as described above, to assist in
authorized activities at the Presidio Trust, and I agree to follow all applicable safety guidelines.
12. SIGNATURE OF VOLUNTEER or VOLUNTEER
GROUP LEADER
13. DATE
PARENTAL CONSENT FOR VOLUNTEER UNDER AGE 18
14. FULL NAME OF PARENT or LEGAL
GUARDIAN
15. PREFERRED PHONE
16. EMAIL ADDRESS
17. I affirm that I am the parent/guardian of the above named volunteer. I understand that the Presidio Trust volunteer
program does not provide compensation, except as otherwise provided by law; and that the service will not confer on the
volunteer the status of a Federal employee. I have read the description of the service that the volunteer will perform. I
give my permission for _________________________________________________ to participate in the specified
volunteer activity.
18. PARENT / GUARDIAN SIGNATURE
19. DATE
NON-DISCRIMINATION STATEMENT
The Presidio Trust prohibits discrimination in all programs 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.
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 Presidio Trust for administrative purposes
including tracking donated services and allocation of volunteer resources. Furnishing this data is voluntary, however if
this form is incomplete, with the exception of the optional section, enrollment in the program cannot proceed.
PRESIDIO TRUST OFFICIAL COMPLETES THIS SECTION
The Presidio Trust agrees, while this arrangement is in effect, to provide such materials, equipment, and facilities that
are available and needed to perform the service described above, and to consider you as a Federal employee only for
the purposes of tort claims, liability and injury compensation to the extent not covered by your volunteer group, if any.
20. FULL NAME of Presidio Trust Representative
21. PHONE
Office:
Mobile:
22. SIGNATURE of Presidio Trust Representative
23. DATE
TERMINATION OF AGREEMENT
24. AGREEMENT TERMINATION DATE:
25. SIGNATURE of Presidio Trust Representative When Terminated: