ODFW Volunteer Application

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Build/Design Kiosks or Educational Displays. 19. ... RVC Computer Corvallis C://My Documents/Volunteer Forms/Volunteer A
Oregon Department of Fish and Wildlife Volunteer Application Name (First, M.I., Last)

Telephone a.m. p.m.

Affiliation (if applicable) Email Address

Mailing Address

Date of Birth

/

/

Street:

Driver’s License

City, State, Zip:

State ________ # _____________________

( ) Yes ( ) No

Please list your formal training/education.

Occupation:

Have you previously volunteered for the Department of Fish and Wildlife? ( ) Yes

( ) No

If yes, please circle the activity areas that apply: Fish

Wildlife

Aquatic/Angler Education

STEP

F&W Host Program Wildlife Education

Hunter Education Other (please list)___________

Other volunteer or work experience? (If a teacher, list grade level)

Interests Please check the box in front of the activities that interest you. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11.

          

Presentations Audio/Visual Education Public Relations Computer/Data Mgt. Office (Clerical) Hatchery/ Wildlife Area Host (RV Required) Construction (General) Build/Design Kiosks or Educational Displays Fisheries—Marine Fisheries—Warmwater Fisheries—Coldwater Stream of Interest ________________ Species of Interest ________________

12. 13. 14. 15. 16. 17. 18. 19. 20.

        

Fish Rearing and Stocking Stream Habitat/Riparian Wildlife—Big Game Wildlife—Upland Bird Wildlife—Waterfowl Wildlife—Nongame Wildlife Rehabilitation Habitat Other _________________________

RVC Computer Corvallis C://My Documents/Volunteer Forms/Volunteer Application rev 01-04.doc

CONTINUED ON BACK

Skills and Experience Please check the box in front of the skills and experiences you can provide as a volunteer. 1. 2. 3. 4. 5. 6.

7. 8.

9. 10. 11.

 Animal Rehabilitation (Lic.# ____________)  Audio/Visual Equipment Use  Bird Identification/Ornithology  Boat Operation  Botany/Plant Taxonomy a.  Carpentry b.  Woodworking c.  Electrical d.  Concrete/Masonry e.  Plumbing f.  Drywall g.  Painting Clerical/Office Machines a.  Computer—Word Processing b.  Computer—Data Entry c.  Computer—Other  First Aid Certificate  Fish Management  Forestry

12.  Graphic Design/Artwork 13.  Hand/Power Tools 14.  Heavy Equipment Operator 15.  Horses Care/Riding 16.  Landscaping/Landscape Design 17.  Metal Work/Welding 18.  Photography 19.  Public Speaking/Presentations 20.  Research 21.  Supervision 22.  Teaching, grade levels _______ 23.  Video Production 24.  Wildlife Management 25.  Working with People 26.  Writing/Editing 27.  Other Trade Skills 28.  Other skills, volunteer or work experience? (please list) _______________________________ _________________________________________

Availability     

January February March April May

Please check the months and days you are available for volunteer service MONTHS DAYS  June  November  Monday   July  December  Tuesday   August  Wednesday  ALL   September  Thursday   October  Friday

Saturday Sunday ALL VARIABLE

Location/Travel Please check all geographical parts of the state in which you would like to work and the distance you are willing to travel. Southwest Central Northwest Northeast Southeast LOCATION: DISTANCE:

Less than 10 miles

Less than 25 miles

Less than 50 miles

Other ____

How did you hear about the program? What would you like to gain from volunteering? What are some of your objectives?

Comments?

Signature: _____________________________________

Return to:

Date: _________________________________________

Due to the sensitive nature of some volunteer jobs, your application may be subject to a background check for criminal and wildlife violations. RVC Computer Corvallis C://My Documents/Volunteer Forms/Volunteer Application rev 01-04.doc