Assignment/Vacancy Form

Submitter: Submitters e-mail address:

Date  

Chair Supervisor

Assignment Vacancy Assignment & Vacancy

Person is: Maintainer Monitor Supervisor Shelter Crew Leader Other

Park or Area Trail

If part of trail: 

from to

If this is a newly adopted TC trail (also include a Trail Update Form): 

Blaze Length

Is this is the result of splitting or combining two or more sections? (check if yes and staple related forms together). Be sure to fill in the new lengths above.

1) NAME/ADDRESS/ZIP of nominee 

IND CLUB Individual within Club

Name

Organization (only for club maintained trails)

Address 1

Address 2

City State Zip

Day Phone Evening Phone

Email Address

For volunteers working on New York State owned Lands (DEC and OPRHP)
As a New York-New Jersey Trail Conference volunteer, I understand that in order to volunteer on NYS lands, I agree to comply with the terms of volunteer service agreements, which provides me with NYS Workers Compensation coverage in the event of an accident. In order to receive these benefits, you will be asked to provide New York State with your Social Security number.

2) Is this a replacement? yes no

No: new trail or section trail section previously listed as vacant (Check one)

Yes: replaces

Was former maintainer informed of assignment loss?

Any Problem?

3) How will this new person be trained? (Each assigned person MUST be trained before beginning work)

Attended a NY-NJ TC Trail Maintenance workshop

Has received on trail instruction from

Experienced maintainer (explain if necessary)
Other, please explain

4) Shall we send this person a Welcome and Thank you letter  yes no

Shall we send this person a NY-NJ Trail Conference Trail Maintenance Manual yes no

5) Anything else we should know

NOTES: Chairs and supervisors should retain a copy of these (signed) forms until each revision of the maintainers list. Once shown on that list, forms can be tossed. Maintainers (and monitors) may not begin work until a signed copy of this form is received.  These forms are given immediate attention.  If you do not get back a signed copy quickly, something is likely wrong. Please telephone

6) Source of maintainer:

VIS Workshop Friend Recommended Met on trail Internet Other