Eastern Neck National Wildlife Refuge Volunteer Application Please complete all information requested and mail to Visitor Service Specialist, Eastern Neck NWR, 1730 Eastern Neck Road, Rock Hall, MD 21661.  You may also send an e-mail with your information to Michele_Whitbeck@fws.gov.   Thank You!!
1. Name (Last, First, Middle)
2. Date of Birth ______/_______/_________ Month/Day/(year is optional)		3. Telephone Number(s) (      ) (      )		4. Email Address
5. Street Address (include apartment no., if any)			6.  City, State, and Zip Code
7. Which general volunteer work categories interest you?
1Birding (leading bird walks) 1Birdhouse maintenance 1Book Store 1Construction Maintenance   1Computers/Data Entry  1Deer Hunts(Check-in/Check-out)              1Environmental Education 1Gardening (Planting and Weeding) 1Habitat Cleanup 1Habitat Restoration	1Historical/ Preservation 1Interpretation (Tour Guide) 1Invasive Species Control 1Office/Clerical 1Outreach in the community 1Maintenance (Construction) 1Maintenance (Mowing) 1Maintenance (Trail Maintenance) 1Photography 1Publications (Writer/Artist/Other)				1Special Events 1Surveys (Invasive species) 1Surveys (Water quality) 1Surveys (Waterfowl) 1Other
8. List anything you would like to share such as past work history, hobbies, interests or education.
9. Do you prefer to work: 1 indoors        1  outdoors      1 both 1 independently 1  on a team    1   both
10. Please specify any physical limitations that may influence your volunteer work activities:
11. Which months are you available for volunteer work? 1January               1April              1July               1October 1February              1May              1August           1November 1March                 1June              1September     1December
12. How many hours per week are you available for volunteer work?   ________  Hours
13. Which days are you available for volunteer work?    1Monday           1Tuesday          1Wednesday          1Thursday           1Friday          1Saturday          1Sunday
__________________________________________   ________________ Signature                                                                                  Date
Notice to Volunteer Volunteers are not considered to be Federal employees for any purposes other than tort claims and injury compensation. Volunteer service in not creditable for leave accrual or any other benefits. However, volunteer service is credible work experience. Privacy Act Statement The following information is provided to comply with the Privacy Act (PL 93-579). 5 U.S.C. 301 and 7 CFR 260 authorize acceptance of the information requested on this form. The data will be used to contact applicants and to interview, screen, and select them for volunteer assignments. Furnishing this data is voluntary.