University of Southern Maine

Employment Services

Volunteer Statement

Part A (To be completed by private individual volunteers not employed by USM)

I confirm that I am volunteering my services with the understanding that these services are provided for civic reasons and that there is no promise or expectation of compensation for services rendered. I offer my services freely and without pressure or coercion.

Signature:                                                                                                                                    

Part B (To be completed by USM employees, including student workers)

I confirm that I am volunteering my services with the understanding that these services are provided for civic reasons and that there is no promise or expectation of compensation for services rendered. My volunteer work is not related to the paid work I do for USM. I offer my services freely and without pressure or coercion.

Signature:                                                                                                                                   

Part C (To be completed by supervisor)

I will serve as the supervisor and contact point for any questions regarding this volunteer, who will perform duties as follows:

Signature:                                                                                                                                    

Department:                                                                                                                                

Date:                                                                                                                                           

You are visitor number since March 27, 2001

Last updated: 04/20/05

University of Southern Maine
P.O. Box 9300, Portland, ME 04104
(207) 780-4141 or 1-800-800-4USM

A member of the University of Maine System