Benton & Franklin Conservation District Volunteer Interest Form

Benton & Franklin Conservation District

Volunteer Interest Form

PROMOTING THE CONSERVATION AND WISE USE OF NATURAL RESOURCES

Soil - Water - Air - Plants - Animals - Human - Energy

Volunteer Activities*

Select

Individual or Group?*

If you register as a representative for a group, a sign in sheet for your group members will be provided at the event.

Select

Name of Group

I am over the age of 18*

Select

Age of Volunteer

Volunteers under the age of 16 must be accompanied by an adult.

Consenting Guardian Full Name

Guardian Phone Number

Guardian Address

Guardian Email

County*

Select or enter value

First Name*

Last Name*

Affiliation

Street Address*

City*

State*

Zipcode

Phone Number*

Email Address*

Preferred Method of Contact

Select or enter value

BioBlitz Experience

Have you participated in a BioBlitz before? (Please practice using the app beforehand.)

Select

iNaturalist Workshop

Will you / did you attend the iNaturalist workshop hosted by the Native Plant Society on April 1st 2025? (Register Here)

Select

Additional Information

Briefly describe any relevant experience or knowledge you have with these activities and any limitations you may have for staff to consider during training and coordination.

Field Work & Safety Measures*

By checking this box, I acknowledge that these activities may occur in or around water bodies and/or over uneven terrain. I agree to follow the District Water Safety Policy and/or other safety measures as directed by District Staff.

Emergency Contact Name

Emergency Contact Phone

Media Consent

I agree to be photographed and understand that any outreach or media resources created are the property of the Conservation District.

Signature (Type Full name)

Send me a copy of my responses

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