Student Volunteer Packet Information Forms

DEPARTMENT OF COMMERCE
INTERNATIONAL TRADE ADMINISTRATION
STUDENT VOLUNTEER PACKET INFORMATION FORM


								
NAME:_______________________________________________
           (Last)     (First)        (Int)

SOCIAL SECURITY # _______________________	GENDER __F  __M

CITIZENSHIP:  Are you a U.S. Citizen?  _____ yes     _____ no

DATE OF BIRTH_____/______/_______

COLLEGE OR UNIVERSITY:_______________________________________________

CITY, STATE 	      _______________________________________________

SCHOOL CALENDER: ___Semester	___Quarter    ___Trimester   ___Other
						
DATES ATTENDED   ___/___/___ TO ___/___/___

EXPECTED GRADUATION DATE ___/___/___

STATUS DURING PROGRAM: 	____Freshman ___Sophomore ___Junior ___Senior

			___Undergraduate ___Graduate Student


CURRENT ADDRESS:	____________________________________

		  	____________________________________

	PHONE:		(_____)_______-__________ effective until ___/___/__



PERMANENT ADDRESS: 	____________________________________

			____________________________________


	PHONE #:	(_____)________-__________


MAJOR: __________________________ MINOR:_________________________

NATIVE LANGUAGE:________________ FOREIGN LANGUAGE:____________________

COMPUTER SKILLS: __________________________________________________________
				
TOP THREE AREA OF INTEREST FOR VOLUNTEER ASSIGNMENT ( i.e. TD,MAC, etc.)

1.____________________2.____________________3.____________________


TERM APPLYING FOR ___SPRING __SUMMER ___FALL ___WINTER

DATE AVAILABLE TO WORK____/____/____THRU___/____/____


COMMENTS__________________________________________________________________

DEPARTMENT OF COMMERCE
INTERNATIONAL TRADE ADMINISTRATION
STUDENT VOLUNTEER PACKET SERVICE AGREEMENT



NAME OF STUDENT VOLUNTEER: ________________________________________________
				       LAST NAME, FIRST NAME MI


This agreement is between the International Trade Administration, 
called the agency, and ____________________________________, called 
the school, The terms of this agreement are as follows: 

    A.  The student is enrolled not less than half-time at an 
	accredited school, is recommended by the school, and is 
	acceptable by the agency.

    B.  The student is nominated and selected without regard to 
	considerations of race, color, national origin, religion, 
	sex, marital status, or handicap.

    C.  The student's service is to be uncompensated, will not be 
	used to displace any employee, or to staff a position which 
	is a normal part of the agency's work force.

    D.  The student will notify agency contact, Student Volunteer 
	Coordination, if the student terminates his/her enrollment 
	at he school during the period of volunteer service, or if 
	the student will have more than five months between school 
	years.

    E.  The student's work assignment shall be in the public 
	interest, and to the maximum extent possible, shall provide 
	an appropriate educational experience for the student.

    F.  The student is not considered to be a Federal employee 
	for any purpose other than injury compensation and laws 
	related to the Tort Claims Act.

    G.  The student is not entitled to benefits, i.e., leave, 
	retirement, health benefits travel compensation, subsistence 
	allowance, quarters, or any other reimbursement or payment of 
	any kind.

    H.  Nature of the volunteer assignment: (Describe the work 
	assignment, supervision to be provided, and how attendance 
	and performance records will be maintained.)

    I.  The agency will establish as official personnel folder for 
	the student and will include "Notification of Personnel 
	Action" and other documentation of the work assignment as 
	specified by the U.S. Office of Personnel Management (see 
	the Federal Personnel Manual, Chapter 308, Subchapter 8-6).

    J.  Evaluations or reports of the student's performance will be 
	provided to the school as requested, subject to regulations 
	governing: (1) the protection of privacy in personnel records 
	and, (2) the availability and disclosure of official information.

    K.  Termination of the agreement prior to the planned ending date 
	of the volunteer assignment may be affected by either party 
	upon written notice to the other party.



_________________________________________	____________	
 (Signature of Selecting ITA Supervisor)	   (Date)


__________________________________________
     (Print ITA Supervisor's Name)


____________________________________    202-482-__________    ___________
            (Title)	  		          (Ext)         (Room)


_______________________________
  (Name of Operation Unit)


SCHOOL LETTER OF ACKNOWLEDGMENT STATING STUDENT IS CURRENTLY ENROLLED 
OR OFFICIAL STAMP NEEDED.  


________________________________ 		___________________
 (Signature of School Official)			       (Date)


_______________________________
            (Title)

_______________________________
       (Name of School)


As a student volunteer, I agree that:

- I waive any and all claims for compensation from the Government 
  of the United States for any services performed;

- I accept accountability for loss or damage to Government property 
  caused by my negligence of willful action;

- My activities on the premises will at all times conform to the 
  standards of conduct of the appointing office in which I shall work.


____________________________________		_______________
  (Signature of Student Volunteer)		      Date


Period of volunteer service: ______________ to ________________


Expected number of work hours per week: ________________________