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DOC Appalachian Trail Volunteer Work Trip Report
If you are going out on a work trip, as an individual or as a group please fill out this form. By signing this form you agree to the terms of the project as defined in the attached Volunteer Service Agreement and affirmed by the organization and federal agency represents. Volunteers under age 18 must complete a Volunteer Service Agreement—Natural & Cultural Resources which must be signed by the parent or guardian.
https://drive.google.com/file/d/1UHRcgJYQpmS2j25qW5FMR6EAMcwQuhju/view
Acceptable Volunteer Duties:
https://drive.google.com/file/d/1ey0wOXovcHjgwR_dclrPOqJtV6i6g21f/view?usp=sharing
For information on volunteer training and job hazard analysis visit
https://appalachiantrail.org/get-involved/volunteer/safety/
NOTE: Any time you volunteer you must leave the following information with a trusted individual:
Your Name:
Date of Work:
Work Location (start and finish points, shelter site, boundary segment, etc):
Vehicle Location:
Vehicle Make, Model, Licence Plate: (ex: Silver Toyota Tacoma 563FS3)
Your Cell Phone #:
Estimated Return Time:
Link to Printable form:
https://drive.google.com/file/d/1WIA9DXQzGjoh_p0ylb8Uv1Y5Qadzdz-O/view?usp=sharing
ANY INJURIES SUSTAINED DURING VOLUNTEER SERVICE MUST BE REPORTED ASAP to Willow Nilsen
willow.nilsen@dartmouth.edu
Also complete:
Appalachian Trail Injury Report Form
https://appalachiantrail.org/wp-content/uploads/2020/04/atc-accident-report-form.pdf
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* Indicates required question
Group Name
*
Choose
Dartmouth Outing Club
Group Leader or Individual Volunteer Name if Working Independently
*
Your answer
List other people who joined you today
*
Your answer
Leader/Volunteer Phone #
*
Your answer
Leader/Volunteer Email
*
Your answer
Agency
*
Choose
White Mountain National Forest – Appalachian National Scenic Trail
Photo Release: Please indicate your willingness (yes) or unwillingness (no) for the Agency to use your photographic, video or audio images in performance of volunteer duties.
*
Choose
Yes
No
Travel Miles. If in a group and people drive separately an estimate of aggregate mileage is sufficient.
*
Your answer
Total Volunteer Hours For This Outing (if in a group add all everyone's hours together)
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Your answer
Description of Work
*
AT Trail Maintenance
AT Corridor Monitoring
DOC Student Trail Maintenance
Please describe the work you plan to perform or completed. Please include the Name of the trail and section on which you worked.
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Your answer
Date of Work
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MM
/
DD
/
YYYY
Electronic Signature: By signing you affirm that you do not have any health or physical limitations that prevent you from safely conducting volunteer duties outlined in the Acceptable Volunteer Duties (top of page) and agree to only participate in work you are trained to conduct.
*
Your answer
Please report any issues on the trail particularly of a safety concern (hazard trees, bridges out etc.)
*
Your answer
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