Parties and dates
The name of the educational institution, the student's name and the from and to dates of the volunteer services. Beside the dates the form prints See attached schedule.
GSA5010
Student Volunteer Services Agreement
- Agency
- GSA
- Revision
- Rev. 9/2017
- Fillable fields
- 14
- Pages
- 2
- Official source
- GSA form page
- Checked
- October 20, 2026
GSA Form 5010: Student Volunteer Services Agreement
GSA Form 5010, Student Volunteer Services Agreement, is a General Services Administration (GSA) form, edition 9/2017, and GSA hosts it in its forms library. The form says GSA and an educational institution enter into the agreement, in accordance with the provisions of 5 U.S.C. 3111, to provide for the acceptance of the volunteer (unpaid) services of a named student between two dates.
The front names the institution, the student and the dates, leaves space to describe the services GSA accepts, and lists what GSA and the educational institution each agree to. The back carries the student's statement and five commitments, followed by four signature lines: an Academic Institution Representative, an HR Service Center Representative, the HR Service Center Director and the student.
The PDF prints no filing address, OMB number or burden estimate. You can fill it out free in your browser on this page and download the result without an account.
What's on GSA Form 5010
Services accepted by GSA
An open space after the line saying the student's volunteer services are accepted by the General Services Administration to, for the work the student will do.
What GSA agrees to
Maintain and provide the attendance record to the institution, furnish evaluations of the student's performance, and provide materials, information and a working space within the limitations of current regulations, laws, and safety considerations.
What the institution agrees to
The institution certifies that the student is at least a half-time student and acknowledges GSA's right to terminate the agreement for cause before the completion of the assignment.
The student's statement
No pay for the services, plus five commitments: obey Federal and GSA rules and the GSA Standards of Conduct, complete mandatory training, continue studies, report absences, and give GSA copies of completed work.
Signatures
The undersigned accept the provisions of the agreement and agree to negotiate matters not covered by it. Four signature lines follow, each with a date.
The front holds the agreement terms. The back holds the student's statement and the signatures.
How to complete GSA Form 5010
- 1
Name the institution and student
Enter the name of the educational institution and the student's name in the blanks on the front. The student's name appears twice.
- 2
Enter the service dates
Fill in the from and to dates of the volunteer services. The form prints See attached schedule beside them.
- 3
Describe the services
Use the open space after accepted by the General Services Administration to, to describe what the student will do.
- 4
Review the commitments
Read what GSA, the educational institution and the student each agree to. These terms are printed on the form and have no blanks to fill.
- 5
Collect the four signatures
The Academic Institution Representative, the HR Service Center Representative, the HR Service Center Director and the student each sign and date the back.
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Signatures and what the form says
Where it goes
The PDF gives no filing address or routing instructions. Its signature lines are for the educational institution, the GSA HR Service Center and the student.
Laws the form cites
The agreement cites 5 U.S.C. 3111. The student's statement cites the Federal Tort Claims provisions published in 28 U.S.C., 2671 through 2680 and Title V, U.S.C., Chapter 81, relative to compensation for injuries sustained during the performance of work assignments.
Ending the agreement
The educational institution acknowledges the right of the General Services Administration to terminate the agreement for cause before the completion of the assignment.
Matters not covered
The signers accept the provisions of the agreement and agree to negotiate matters that occur which are not covered by it.
Related forms
Who signs GSA Form 5010?
The agreement names GSA, an educational institution and a student, and prints four signature lines on the back.
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Questions about Form GSA5010
Who issues GSA Form 5010?
The footer prints General Services Administration and GSA 5010 9/2017. GSA hosts the form in its forms library.
Is the student paid under this agreement?
No. The form describes volunteer (unpaid) services, and the student's statement says I understand that I will receive no pay for my services.
Is the student a Federal employee?
The form says the student is not considered a Federal employee except for any purpose other than for purposes of the Federal Tort Claims provisions published in 28 U.S.C., 2671 through 2680 and Title V, U.S.C., Chapter 81, relative to compensation for injuries sustained during the performance of work assignments.
Who signs GSA Form 5010?
The back has four signature and date lines: Academic Institution Representative, HR Service Center Representative, HR Service Center Director and Student.
What does the educational institution certify?
The form says the institution certifies that the student is at least a half-time student as defined by its academic regulations.
What does the student agree to?
To obey the rules and regulations of the Federal Government and GSA and comply with the GSA Standards of Conduct, complete all mandatory training, continue a course of study or training after the assignment, notify the designated person of deviations or absences, and provide GSA a copy of the projects or work assignments completed.
Can the agreement end before the assignment is complete?
The form says the institution acknowledges the right of the General Services Administration to terminate this agreement for cause before the completion of the assignment.