Form 6045 Volunteer Service Application

Volunteer Service Application

VOLUNTEER SERVICE APPLICATION_ks_edits_12_3_2021_4PDF_dropdown_v2

Volunteer Service Application

OMB: 3095-0060

Document [pdf]
Download: pdf | pdf
OMB Control No. 3095-0060
Expiration date: 0X/XX/20XX

VOLUNTEER SERVICE APPLICATION
Select the facility:

Thank you for your interest in becoming a volunteer with the National Archives and Records
Administration (NARA). Our volunteers play a vital role in the activities of the Archives. They supplement
the staff in important ways with special talents and knowledge.
Please note that you must meet the following requirements in order to be qualified as a NARA volunteer:
you must be 16 years or older and meet one of the following three requirements:
(1) you must be a U.S. citizen;
(2) you must be a legal resident alien [possessor of a green card]; or
(3) you must be a holder of a type A1 or A2 diplomatic visa.
If you do not meet these requirements, we will not be able to accept your volunteer application.
The next step in applying to become a volunteer is to complete this application. Your answers to the
questions will enable us to see where you might best help our programs and what activities would be
most fulfilling to you.
Please note that a background check will be necessary, depending on the type of volunteer service you
will provide and the kind of access you are granted to our facility. For further information about this step in
the application process, please contact the Volunteer Coordinator at the facility selected above.
PRIVACY ACT STATEMENT
Collection of this information is authorized by 44 U.S.C. 2104 and 44 U.S.C. 2105(d). The information you
provide to NARA on this form will be used to determine if you will be accepted as a volunteer. This information
may be disclosed to an expert, consultant, agent or contractor of NARA to the extent necessary for them to
assist NARA in the performance of its duties or in accordance with any other “routine uses of records” listing in
the Privacy Act System of Records NARA 26, “Volunteer Files.” Completing this form is voluntary, but failure to
provide all of the requested information will result in you not being accepted as a volunteer.
PAPERWORK REDUCTION ACT PUBLIC BURDEN STATEMENT
You are not required to provide the information requested on a form that is subject to the Paperwork Reduction
Act unless the form displays a valid OMB control number. Public burden reporting for this collection of
information is estimated to be 25 minutes per response. Send comments regarding the burden estimate or any
other aspect of the collection of information, including suggestions for reducing this burden, to National Archives
and Records Administration (MP), 8601 Adelphi Road, College Park, Maryland 20740. DO NOT SEND
COMPLETED VOLUNTEER APPLICATION FORMS TO THIS ADDRESS. SEND COMPLETED FORMS TO
THE ADDRESS INDICATED ON THE TOP OF THIS FORM.

NATIONAL ARCHIVES AND RECORDS ADMINISTRATION

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NA Form 6045 (12-21)

OMB Control No. 3095-0060
Expiration date: 0X/XX/20XX

PERSONAL INFORMATION
Please provide a phone number at which we may reach you Monday through Friday, during business
hours to follow up on your application. You also may provide an email address for this purpose.
*required field
Please check if you have:

☐

U.S. Citizenship

☐

Green Card

☐

A1 or A2 Diplomatic Visa

*Name:

Date of birth:

*Mailing address:
*State: AL

*City:

*Zip:

*Email:
*Cell phone number:

EDUCATION

Level

Alternate phone number:

Name Location of Institution

Years Attended

☐ Yes ☐

*High school

Level

Diploma/GED

Years Attended

Name Location of Institution

No

Field of Study

College
*Undergraduate
Undergraduate
Undergraduate
*Graduate
Graduate
Graduate

NATIONAL ARCHIVES AND RECORDS ADMINISTRATION

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NA Form 6045 (12-21)

OMB Control No. 3095-0060
Expiration date: 0X/XX/20XX

WORK EXPERIENCE
Summarize your last 10 year of employment. If there is a gap between when you were last employed and now (e.g.
due to retirement), please list the 10 years prior to this gap.

*From/to

*Position

*Employer

PREVIOUS VOLUNTEER EXPERIENCE
Summarize your last 10 year of volunteer experience.

*Position

NATIONAL ARCHIVES AND RECORDS ADMINISTRATION

*From/to

Page 3 of 6

*Organization

NA Form 6045 (12-21)

OMB Control No. 3095-0060
Expiration date: 0X/XX/20XX

Please check all that apply.

SPECIAL SKILLS
The following information you provide will help us to identify which activities at our facility will be of most
interest to you and also support our programs through meaningful contributions.
Are you skilled in:
☐ Visitor/customer service
☐ Teaching
☐ Public speaking
☐ Writing
☐ Genealogical research
☐ Research
☐ Archival work such as holdings maintenance, processing, or description
☐ Using the computer for data entry, presentations, digitization
Identify subject area(s) in our holdings of personal or historic interest to you, if appropriate. Please list other
volunteer-related skills.

Characters remaining:
NATIONAL ARCHIVES AND RECORDS ADMINISTRATION

Page 4 of 6

NA Form 6045 (12-21)

OMB Control No. 3095-0060
Expiration date: 0X/XX/20XX

LANGUAGES
An ability to speak and understand a foreign language most likely will be used to greet and possibly guide foreign
visitors. You would not be expected to explain highly technical aspects of our program. Reading and translating
duties might involve assisting the staff in reading and responding to foreign language correspondence or in
translating documents from the holdings at our facility.
Foreign language(s) please list:

Speak and Understand

Can read and translate into and from

Fluent/Proficient

Easily/Passably

Other Communication Abilities:
American Sign Language

☐ Highly skilled ☐ Some ability

Braille

☐ Highly skilled ☐ Some ability

WHEN ARE YOU AVAILABLE
Days:
☐ Monday

Hours:

☐ Tuesday

Hours:

☐ Wednesday

Hours:

☐ Thursday

Hours:

☐ Friday

Hours:

☐ Saturday

Hours:

☐ Sunday

Hours:

NATIONAL ARCHIVES AND RECORDS ADMINISTRATION

Page 5 of 6

NA Form 6045 (12-21)

OMB Control No. 3095-0060
Expiration date: 0X/XX/20XX

REFERENCES
List two people who are not relatives who know about your ability and knowledge. It is important that you
provide the names of two individuals who can be contacted to discuss your qualifications for a volunteer
position. They will be informed of the reason for the contact.

*Name:
*Mailing address:
*State: AL

*City:

*Zip:

*Email:
*Cell phone number:

Alternate phone number:

*Name:
*Mailing address:
*State: AL

*City:

*Zip:

*Email:

*Cell phone number:

Alternate phone number:

*Date:

*Signature:

NATIONAL ARCHIVES AND RECORDS ADMINISTRATION

PRINT

Page 6 of 6

RESET

NA Form 6045 (12-21)

SAVE


File Typeapplication/pdf
File TitleVolunteer Service Application, NA Form 6045 (12-21)
SubjectOMB Control No. 3095-0060, volunteer, information collection request
AuthorNARA
File Modified2021-12-15
File Created2021-12-02

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