ContractMay 5th, 2020
FiledMay 5th, 2020Volunteer Services Agreement for Natural Resources Agenciesfor Individuals or Groups Please print when completing this form Site Name/Project Leader Agency Reimbursement (if any) Name of Volunteer or Group Leader – Last, First, Middle Age (If Individual Agreement)Under 18 18-25 26-55 56 and Older Are you a U.S. Citizen? Yes No Visa Type Email Address Home Phone Mobile Phone Street Address City State Zip
ContractJuly 24th, 2014
FiledJuly 24th, 2014Volunteer Services Agreement for Natural Resources Agenciesfor Individuals or Groups Please print when completing this form (Attach a separate sheet for those data that do not fit in the allowed spaces). Site Name/Project Leader Agency Reimbursement (if any) Name of Volunteer or Group Leader – Last, First, Middle Age (If Individual Agreement)Under 18 18-25 26-55 56 and Older Are you a U.S. Citizen?Yes No Visa Type Email Address Home Phone Mobile Phone Street Address City State Zip
ContractJune 25th, 2014
FiledJune 25th, 2014Volunteer Services Agreement for Natural Resources Agenciesfor Individuals or Groups Please print when completing this form (Attach a separate sheet for those data that do not fit in the allowed spaces). Site Name/Project LeaderIRONWOOD FOREST N.M.; (CROW, HUGHES, CLINE) AgencyBLM Reimbursement (if any)NONE Name of Volunteer or Group Leader – Last, First, Middle Age (If Individual Agreement)Under 18 18-25 26-55 56 and Older Are you a U.S. Citizen?Yes No Visa Type Email Address Home Phone Mobile Phone Street Address City State Zip
ContractApril 18th, 2014
FiledApril 18th, 2014Volunteer Services Agreement for Natural Resources Agenciesfor Individuals or Groups Please print when completing this form Site Name/Project Leader Agency Reimbursement (if any) Name of Volunteer or Group Leader – Last, First, Middle Age (If Individual Agreement)Under 18 18-25 26-55 56 and Older Are you a U.S. Citizen? Yes No Visa Type Email Address Home Phone Mobile Phone Street Address City State Zip
ContractMay 25th, 2013
FiledMay 25th, 2013Volunteer Services Agreement for Natural Resources Agenciesfor Individuals or Groups Please print when completing this form Site Name/Project Leader Agency Reimbursement (if any) Name of Volunteer or Group Leader – Last, First, Middle Age (If Individual Agreement)Under 18 18-25 26-55 56 and Older Are you a U.S. Citizen? Yes No Visa Type Email Address Home Phone Mobile Phone Street Address City State Zip
ContractMarch 7th, 2013
FiledMarch 7th, 2013Volunteer Services Agreement for Natural Resources Agenciesfor Individuals or Groups Please print when completing this form Site Name/Project Leader Agency Reimbursement (if any) Name of Volunteer or Group Leader – Last, First, Middle Age (If Individual Agreement)Under 18 18-25 26-55 56 and Older Are you a U.S. Citizen? Yes No Visa Type Email Address Home Phone Mobile Phone Street Address City State Zip
ContractJanuary 13th, 2011
FiledJanuary 13th, 2011Volunteer Services Agreement for Natural Resources Agenciesfor Individuals or Groups Please print when completing this form (Attach a separate sheet for those data that do not fit in the allowed spaces). Site Name/Project LeaderSt. Catherine Creek NWR AgencyUSFWS Reimbursement (if any)N/A Name of Volunteer or Group Leader – Last, First, Middle Age (If Individual Agreement)Under 18 18-25 26-55 56 and Older Are you a U.S. Citizen?Yes No Visa Type Email Address Home Phone Mobile Phone Street Address City State Zip
ContractJanuary 13th, 2011
FiledJanuary 13th, 2011Volunteer Services Agreement for Natural Resources Agenciesfor Individuals or Groups Please print when completing this form (Attach a separate sheet for those data that do not fit in the allowed spaces). Site Name/Project LeaderSeedskadee NWR / Tom Koerner AgencyDOI - USFWS Reimbursement (if any) Name of Volunteer or Group Leader – Last, First, Middle Age (If Individual Agreement)Under 18 18-25 26-55 56 and Older Are you a U.S. Citizen?Yes No Visa Type Email Address Home Phone Mobile Phone Street Address City State Zip
ContractJanuary 13th, 2011
FiledJanuary 13th, 2011Volunteer Services Agreement for Natural Resources Agenciesfor Individuals or Groups Please print when completing this form (Attach a separate sheet for those data that do not fit in the allowed spaces). Site Name/Project Leader Agency Reimbursement (if any) Name of Volunteer or Group Leader – Last, First, Middle Age (If Individual Agreement)Under 18 18-25 26-55 56 and Older Are you a U.S. Citizen?Yes No Visa Type Email Address Home Phone Mobile Phone Street Address City State Zip
ContractJanuary 13th, 2011
FiledJanuary 13th, 2011Volunteer Services Agreement for Natural Resources Agenciesfor Individuals or Groups Please print when completing this form (Attach a separate sheet for those data that do not fit in the allowed spaces). Site Name/Project LeaderDaingerfield Island, River Cleanup, Sat. Sept 19, 2015 AgencyClean VA Waterways Reimbursement (if any)None Name of Volunteer or Group Leader – Last, First, MiddleKatie Register of Clean Virginia Waterways Age (If Individual Agreement)Under 18 18-25 26-55 56 and Older Are you a U.S. Citizen?Yes No Visa Type Email Addressregisterkm@longwood.edu Home Phone Mobile Phone434-607-8021 Street Address City State Zip
ContractDecember 13th, 2010
FiledDecember 13th, 2010Volunteer Services Agreement for Natural Resources Agenciesfor Individuals or Groups Please print when completing this form Site Name/Project Leader Agency Reimbursement (if any) Name of Volunteer or Group Leader – Last, First, Middle Age (If Individual Agreement)Under 18 18-25 26-55 56 and Older Are you a U.S. Citizen? Yes No Visa Type Email Address Home Phone Mobile Phone Street Address City State Zip
ContractDecember 13th, 2010
FiledDecember 13th, 2010Volunteer Services Agreement for Natural Resources Agenciesfor Individuals or Groups Please print when completing this form Site Name/Project Leader Agency Reimbursement (if any) Name of Volunteer or Group Leader – Last, First, Middle Age (If Individual Agreement)Under 18 18-25 26-55 56 and Older Are you a U.S. Citizen? Yes No Visa Type Email Address Home Phone Mobile Phone Street Address City State Zip