Volunteer Service Agreement - Natural & Cultural Resources Volunteer Sign-Up Form for Groups

Agency Name: Appalachian National Scenic Trail, National Park Service

Group Name: Maine Appalachian Trail Club

Agreement Number: NPS2490-25-0005

First Name:

Last Name:

City

Telephone Number:

Email:

Are you over 18?

Yes
No

Birth Year

Birth Month

Volunteers under age 18 require guardian consent in advance of the activity. Confirm that consent has been granted and MATC has received an OF301A form signed by the parent/guardian.

Confirmed

Group Name: (begin typing to select from list)

Type into the box or select from the drop-down list. If no options load, try opening this page in another web browser.

All volunteers that participate with an organized group on an episodic volunteer project on a unit of a public lands agency must be signed up on this form. By signing this form you agree to the terms of the project as defined in the Volunteer Service Agreement and affirmed by the organization and federal agency represents. Volunteers under age 18 must complete a Volunteer Service Agreement—Natural & Cultural Resources (OF301A) and must be signed by the parent or guardian.

References: Volunteer Service Agreement Packet

Volunteer Safety Page and JHA Library

Signature of agreement and acknowledgement: (please write out your full name)

I consent to being photographed, and to the release of my photographic image to the Agency:

Yes
No

I understand the health and physical condition requirements for this position, and I know of no medical condition or physical limitation that may adversely affect my ability to provide this service:

Yes
No

Hidden Fields

Club ID

Contact Id

Community Logged in User?

Community Logged In User

Burden Statement: According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1096-0006. The time required to complete this information collection is estimated to average 1.9 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

OMB Control Number 1093-0006