Fillable Volunteer Service AgreementNatural & Cultural Resources Volunteer Sign-up (U.S. Fish and Wildlife Service)

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Volunteer Service AgreementNatural & Cultural Resources Volunteer Sign-up (U.S. Fish and Wildlife Service)

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OMB No. 0596-0080
Expires 10/31/2021
G
ROUP NAME: AGENCY NAME:
Volunteer Service Agreement—Natural & Cultural Resources Volunteer Sign-up Form for Groups
All volunteers that participate with an organized group on an episodic volunteer project on a unit of a public lands agency must be signed up on this form. By signing this form
you agree to the terms of the project as defined in the attached Volunteer Service Agreement and affirmed by the organization and federal agency represents. Volunteers under
age 18 must complete a Volunteer Service Agreement—Natural & Cultural Resources and must be signed by the parent or guardian. Please indicate your willingness (yes) or
unwillingness (no) for the Agency to use your photographic, video or audio images in performance of volunteer duties.
Burden Statement: According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays
a valid OMB control number. The valid OMB control number for this information collection is 0596-0080. The time required to complete this information collection is estimated to average 1.9
minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information.
Project Title:
Group Name:
Agency:
Group Contact Name (First, Last):
Telephone:
Agency Contact Name (First, Last):
Telephone:
Email:
Email:
#
Volunteer Name (First, Last)
Signature
Email Address
Photo Release
Yes
No
Volunteer Service Agreement Group Sign-up Form 301b USDA-USDI-DOC0-DOD
Page 1 of 2
G
ROUP NAME: AGENCY NAME:
OMB 0596-0080
Approved October 2018
#
Volunteer Name (First, Last)
Signature
Email Address
Photo Release
Yes
No
Volunteer Service Agreement Group Sign-up Form 301b USDA-USDI-DOC0-DOD
Page 2 of 2
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Volunteer Service AgreementNatural & Cultural Resources Volunteer Sign-up (U.S. Fish and Wildlife Service)

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Completed 26 September 2021

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