Form OF 301b OF 301b Volunteer Sign-up Form for Groups

OMB no. 0596-0080 v1

Group Name: Agency Name: Date:

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	Telephone Number	Email Address		Photo Release
						Yes	No
#	Volunteer Name (First, Last)	Signature	Telephone Number	Email Address		Photo Release
						Yes	No

Volunteer Service Agreement Group Sign-up Form 301b USDA-USDI-DOC0-DOD

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