Upper Susquehanna-Lackawanna Watershed
American Heritage River Volunteer Form

This form can be used to volunteer to participate in various projects being undertaken as part of the American Heritage River Work Plan for the Upper Susquehanna-Lackawanna Watershed

To volunteer, please print this page and when completed, mail it to the address at the bottom of the page. You may copy and email the completed form if you wish.

Name: ______________________________________________

Mailing Address:__________________________________________

________________________________________________________

Phone Number: ________________________

Email Address (if you have one): ___________________________________

If You Have A Specific Project or Geographical Area You Are Interested In Volunteering For, Please List Below:

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

What Type Of Project Would You Be Interested in?

Economic Revitalization [ ], Natural Resource Protection [ ], Historic and Cultural Preservation [ ],
Training and Education [ ] (choose one)

How Many Hours A Week Would You Be Available?

Week Day _______ Weekend________

 

Mail completed form to:
Tom Williams, Senior Projects Director
Office of Congressman Kanjorski
The Stegmaier Building, Suite 400M
7 North Wilkes-Barre Boulevard
Wilkes-Barre, PA 18702-5283

Or email to: tom.williams@mail.house.gov