Virginia Department of Game and Inland Fisheries

Complementary Work Force Program

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Demographics

First name:
Middle initial:
Last name:
Preferred nickname:
Date of Birth (mm/dd/yyyy):
Sex:	Male Female

Contact Information

Mailing address:
City:	State:	ZIP code:
County of residence:
Email address:
Home phone:
Work phone:
Cell phone:

Education & Experience

Occupation:
Retired?	Yes No
Employer/school name:
Education (years):
Degree:
Special skills or licenses:
Volunteer/paid experience:

Interests & Availability

NOTE: By submitting this application, you are indicating that you are willing to submit to a background check prior to beginning your volunteer assignment. You may be asked to provide further identifying information and personal references as part of this process.

If you understand and agree to the above statement, please check this box:

I understand and agree

Rather print and mail-in your application?

Complementary Work Force Program Application (PDF)

I am interested in... (check all that apply)	Trout Stocking Permit Inspections Wildlife Damage Inspections Staffing Exhibits Waterway Marker Inspections Region Office Assistance Programs/Presentations Public Information Desk Equipment Repair/Maintenance Other (if other, please feel free to list activities or services you could render to the Department):
Availability:	Daily Weekly Monthly Occasionally Special Projects Seasonally Please estimate: how many hours per year are you interested in volunteering? Don't know 10-50 51-100 100-200 More than 200 Will vary