Form 11 14-1 0
Instructions: Mark 'Y' in appropriate
UNITED STATES
(January 2001)
boxes. For other items, either print or
DEPARTMENT OF THE INTERIOR
type responses. If extra space is needed,
BUREAU OF LAND MANAGEMENT
use item 17.
VOLUNTEER APPLICATION
(Last First Middle)
1. Name
3. Telephone
2. Age
(
)
4. Street Address (include apartment number, if any)
5. City, State, and Zip Code
6. Which general volunteer work categories are you most interested in?
Archaeology
Historical/Preservation
Riparian
Minerals/Geology
Botany
Soil/Watershed
Natural Resources Planning
Trail/Campground Maintenance
Campground Host
Office/Clerical
Tour Guide/Interpretation
Construction/Maintenance
Pest/Disease Contro
l
Visitor Information
Computers
Range/Livestock
Wild Horses
Fire Prevention
Other:
Recreation/Wilderness
Fisheries/Wildlife
Research/Library
Forestry
7. What qualifications/skills/experience/education do you have that you would like to use in your volunteer work?
Drivers License
Backpacking/Camping
Public Speaking
Biology
Research /Librarian
First Aid/CPR Certificates
Boat Operation
Sign Language
Foreign Language:
Supervision
Carpentry
Hand/Power Tools
Clerical/Office Machines
Heavy Equipment Operation
Other Trade Skills
Computer Programming
Teaching
Horses-Care/Riding
Computer Software:
Working with People
Landscaping/Reforestation
Writing/Editing
Land Surveying
Defensive Driving Training
Other
Livestock/Ranching
Drafting/Graphics
Map Reading/Orienteering
Drive Standard Trans.
Mountaineering
Drive 4 x 4s
Photography
8. Based on boxes checked in items 6 and 7, what particular type of volunteer work would you like to do? (Please
describe specific qualifications, skills, experience, or education that apply)
9a. Have you volunteered before ?
Yes
No
9b. If yes, please briefly describe your volunteer experience.
10. Would you be willing to supervise other volunteers?
Yes
No
I 1. What are some of your objectives for working as a volunteer?
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