DEP Form FPS-A065 "Volunteer Application - Florida Park Service" - Florida

What Is DEP Form FPS-A065?

This is a legal form that was released by the Florida Department of Environmental Protection - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2012;
  • The latest edition provided by the Florida Department of Environmental Protection;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of DEP Form FPS-A065 by clicking the link below or browse more documents and templates provided by the Florida Department of Environmental Protection.

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Download DEP Form FPS-A065 "Volunteer Application - Florida Park Service" - Florida

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Florida Department of Environmental Protection
Florida Park Service
Volunteer Application
Date:
Purpose for Volunteering
 Internship
 Give back to the community
 College educational requirement
 Campground host or
resident voluntee
r
 K-12 educational requirement
 Project for scouting or service group
 Community service: Court-ordered
I am a:
New ApplicantReturning Volunteer
Applicant Information
(Please submit a separate application for each individual)
Applicant Name (Last name, first name, middle initial)
Telephone (Best)
Address
City
State
Zip Code
Date of Birth (DOB)
Do you have a valid Driver License?  Yes  No
Email Address
(Required for some duties)
Emergency Contact Information
Name
Relationship
Telephone (Best)
References
(List references that are familiar with your work or volunteer experience. Do not include relatives.)
Name
Telephone(s):
Name
Telephone(s):
Name
Telephone(s):
Locations in which you are most interested in volunteering
(Florida State Parks)
1.
2.
3.
Are you willing to consider volunteering at other Florida State Parks?  Yes  No
Availability
Year you are applying for: __________________
How many hours per week can
Check-off the month(s), day(s) of the week and time you are available:
you volunteer?
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Less than 10
10 to 20
Sun Mon Tue Wed Thu Fri
Sat
AM PM
20-30
30-40
Is your availability flexible?  Yes  No
Campground Host or Resident Volunteer
(Note: Maximum 16-week stay in any single park.)
Complete this section only if you are applying to be a Campground Host or Resident Volunteer.
Type of camping unit:
 Motor Home
 5th Wheel
 Trailer/Camper
 Tent
Length or width of unit (including slide out): L _______ W _______
Extra Vehicle?  Yes  No
RV minimum hook-up necessary:
 Water
 Sewer
 Electricity
Amps Needed: __________
Will you have a pet?  Yes  No If yes, type and breed:_________________________________________
Number of people (including applicant) that will be residing at the campsite: Adults______ Youths______
Name(s) of others residing with you:
DOB:
Name:
DOB:
Name:
DOB:
FPS-A065 REV 12/2012
Florida Department of Environmental Protection
Florida Park Service
Volunteer Application
Date:
Purpose for Volunteering
 Internship
 Give back to the community
 College educational requirement
 Campground host or
resident voluntee
r
 K-12 educational requirement
 Project for scouting or service group
 Community service: Court-ordered
I am a:
New ApplicantReturning Volunteer
Applicant Information
(Please submit a separate application for each individual)
Applicant Name (Last name, first name, middle initial)
Telephone (Best)
Address
City
State
Zip Code
Date of Birth (DOB)
Do you have a valid Driver License?  Yes  No
Email Address
(Required for some duties)
Emergency Contact Information
Name
Relationship
Telephone (Best)
References
(List references that are familiar with your work or volunteer experience. Do not include relatives.)
Name
Telephone(s):
Name
Telephone(s):
Name
Telephone(s):
Locations in which you are most interested in volunteering
(Florida State Parks)
1.
2.
3.
Are you willing to consider volunteering at other Florida State Parks?  Yes  No
Availability
Year you are applying for: __________________
How many hours per week can
Check-off the month(s), day(s) of the week and time you are available:
you volunteer?
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Less than 10
10 to 20
Sun Mon Tue Wed Thu Fri
Sat
AM PM
20-30
30-40
Is your availability flexible?  Yes  No
Campground Host or Resident Volunteer
(Note: Maximum 16-week stay in any single park.)
Complete this section only if you are applying to be a Campground Host or Resident Volunteer.
Type of camping unit:
 Motor Home
 5th Wheel
 Trailer/Camper
 Tent
Length or width of unit (including slide out): L _______ W _______
Extra Vehicle?  Yes  No
RV minimum hook-up necessary:
 Water
 Sewer
 Electricity
Amps Needed: __________
Will you have a pet?  Yes  No If yes, type and breed:_________________________________________
Number of people (including applicant) that will be residing at the campsite: Adults______ Youths______
Name(s) of others residing with you:
DOB:
Name:
DOB:
Name:
DOB:
FPS-A065 REV 12/2012
Highlight background and experiences that you feel contributes to the Florida State Parks.
Education, Knowledge, Skills, Abilities:
Experience: (Please include any previous campground hosting or volunteer experience, listing the location and dates)
License, Registration or Certification:
Hobbies and Interests:
Your Volunteer Service Goals:
Are you willing to supervise other volunteers?  Yes  No
Please check all of the boxes of those skills/duties that you are interested in performing. After each, please indicate (circle
or select) whether you have either (E) – Experience in this skill, or (I) – Interest in gaining this skill.
Toll Collection E / I
Office/Clerical E / I
Housekeeping E / I
Trail/Campgrd. Maint. E / I
Store Operations E / I
Graphic Design E / I
Painting E / I
Mowing/Landscaping E / I
Museum/Living History E / I
Accounting/Finance E / I
Carpentry/Constr. E / I Vehicle Maintenance E / I
Tour Guide/Intrepret E / I
Fundraising E / I
Electrical E / I
Small Engine Repair E / I
Special Events E / I
Resource Mgmt. E / I
Plumbing E / I
Heavy Equipment Repair E / I
Other (Please specify E / I )
Background Information
Have you ever been asked to vacate a volunteer position?
Yes No
Have you ever been convicted of a felony or a first degree misdemeanor?
Yes No
Have you ever pled Nolo Contendere or pled guilty to a crime which is a felony or a
first degree misdemeanor?
Yes No
Have you ever had the adjudication of guilt withheld for a crime which is a felony
or a first degree misdemeanor?
Yes No
If 'yes' to any of the questions, please explain, what charges or convictions and where?
Note: A "Yes" answer to these questions will not automatically bar you from volunteering. The nature, job-relatedness,
severity and date of the offense in relation to the position for which you are applying are considered. It is the policy of the
Department of Environmental Protection that all current and new volunteers, who are assigned to perform the duties of
positions of special trust as designated by the Secretary, may be subject to a security background check including
fingerprinting as a condition of employment or working for or with the Department.
I understand that I may be asked to provide date of birth, driver’s license number(s) or other proof of
identfication, and social security number(s) at a later date. I certify that all information contained in this
application is true and correct. Further, I authorize the Florida State Parks to verify the information provided.
Volunteer's Signature
Date
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