ContractVolunteer Service Agreement • June 26th, 2018
Contract Type FiledJune 26th, 2018VOLUNTEER SERVICE AGREEMENT—NATURAL & CULTURAL RESOURCES 1. ✔ INDIVIDUAL 2. GROUP 3. NAME OF AGENCY 4. AGREEMENT # AZ2021TFO 5. NAME OF VOLUNTEER (First, Last) 6. U.S. CITIZEN OR PERMANENT RESIDENT YesNo, list visa type _ 7. NAME OF GROUP 8. NAME OF GROUP CONTACT (First, Last) 9. STREET ADDRESS 10. CITY, STATE, ZIP CODE 11. EMAIL ADDRESS 12. PHONE Home:Mobile: 13. AGE Under 15 15 – 18 26 – 35 36 – 54 19 - 2555 and Older 14. ETHNICITY & RACE (Optional): Please report both ethnicity and race and tell us if you are a veteran or have a disability. Multiracial respondents may select two or more races. This information will inform our understanding of diversity and inclusion among the volunteer force in the natural and cultural resource areas. 14a. Ethnicity (Select one): Hispanic or LatinoNot Hispanic or Latino 14b. Race (Select one or more, regardless of ethnicity): American Indian or Alaskan Native Asian Black or African American WhiteNative Hawaiian or Other Pacific Islander 14c. Ar