Volunteer Services Agreement for Natural Resources Agencies
for Individuals or Groups
Please print when completing this form
Reimbursement (if any)
Name of Volunteer or Group Leader – Last, First, Middle
IF VOLUNTEER IS UNDER AGE 18 – Name of Parent or Guardian
I affirm that I am the parent/guardian of the above named volunteer. I understand that the agency 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 attached description of the work that the volunteer will perform.
I give my permission for
to participate in the specified volunteer activity sponsored
(Name of Sponsoring Organization, if applicable)
(Name of Volunteer Duty Station)
Emergency Contact Name
GOVERNMENT OFFICIAL COMPLETES THIS SECTION
Brief description of work to be performed. Include details such as minimum time commitment required, use of personal equipment,
use of government vehicle, etc. Attach the complete job description to this form. If this is a group agreement, the leader is to provide the
group name, a complete list of group participants to be attached to this form, and parental approval (above) completed for each volunteer
under the age of 18.
Government Vehicle required?
Valid State Driver's License
International Driver's License
Personal Vehicle to be used?
Please verify that the volunteer is in possession of one of these documents.
DO NOT keep a copy of the document for his/her file.
OMB 0596-0080 (Expires 8/2010)
Optional Form 301A (6/2007)
I understand that I will not receive any compensation for the above work and that volunteers are NOT considered Federal employees for