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 _________________________
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