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:

Drivers 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
FisheriesMarine
FisheriesWarmwater
FisheriesColdwater
Stream of Interest ________________
Species of Interest ________________

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

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

Fish Rearing and Stocking

Stream Habitat/Riparian
WildlifeBig Game
WildlifeUpland Bird
WildlifeWaterfowl
WildlifeNongame
Wildlife Rehabilitation
Habitat
Other _________________________

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. ComputerWord Processing
b. ComputerData Entry
c. ComputerOther
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