Volunteer for a Changing
World
Opportunities Application
Form
By submitting this application form, you are
applying towork as a volunteer at the US Geological Survey, Hawaiian
Volcano Observatory.
Enter your responses to questions by typing into the spaces
providedor selecting response choices. If you need to provide
additional informationto a response choice, use the detailed response
section at the end of theform. See Privacy Note.
Mailing Address:
First Name:
LastName:
Street Address:
Street Address:
City: State: Zip Code: Country:
E-mail : TelephoneNumber
(include area code):
Availability: All
applicants must be availablefor a minimum of three consecutive months.
Specify your lodging requirements:
I
will furnishmy own lodging.
I will require assistance in finding lodging. SeeHVOHousing at
Hawai`i Volcanoes National Park
Please specify any physical conditions that may influence
your volunteerwork activities:
Education Level: All
applicants must beat least 18 years old.
High
SchoolDiploma UndergraduateDegree Graduate
Degree
Field of highest degree:
Please describe your qualifications, skills, experiences,
or educationthat relate to this volunteer position.
Have you ever volunteered before? Yes No
If yes, please briefly describe your .
:
What are some of your objectives for working as a
volunteer in thisposition?
:
This space is provided for more detailed responses.
Please indicatethe general category to which these responses apply:
Based on U.S. Government Optional Form
301 (4-83)
Volunteers are not considered to be Federal
employees forany purpose other than tort claims and injury
compensation. Volunteer serviceis not creditable for leave accrual or
any other benefit. However, volunteerservice is creditable work
experience.
Note: Privacy
Act Statement:Following information is provided in compliance with the
Privacy Act (PL93-579). 5 U.S.C. 301 and 7 CFR 260 authorize acceptance
of the informationrequested on this form. The data will be used to
contact applicants andto interview, screen, and select them for
volunteer assignments. Furnishingthis data is voluntary.
A copy of your application will be sent
electronicallyto the USGS host contact for the position(s) you have
selected. Portionsof the information sent through this form will be
kept on a USGS databasefor future reference. You may print the
confirmation page that will appearafter you submit your application to
keep for your records.
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