Please report your Volunteer hours, including travel time, and your Continuing Education hours from July 1 to June 30.
Thank You! For your time & energy
Your First Name ✻
Last Name: ✻
Email Address: ✻
Class Year
Community Volunteers please use "0" ✻
Please use the date spread to enter multiple attendance to the same event/activity, not multiple activities. If you are only entering information for one date, please do not use the End Date field
Type of Event or Activity: Please choose the activity that best describes how you spent your time and use the boxes below to enter the name and location of the activity. ✻
Date: (MM/DD/YYYY) ✻
End Date: (MM/DD/YYYY) ONLY if you are entering hours for multiple attendance for the same event/activity
# of Volunteer hours, excluding travel: (XX.X) Number only please, no text
# of Continuing Education Hours: (XX.X) Numbers only please, no text
# of Community Youth contacts made - numbers only please, no text ✻
# of Community Adult contacts made - numbers only please, no text ✻
Travel Time: (XX.X) Number only please, no text
Mileage - numbers only please, no text
Comments: List the month(s) of multiple meetings, The name of the event, the location of the workshop, give feedback about the event, what worked well, what could have been better... to help me confirm the activity.
Thank you! ✻
For verification that you are human, please enter the following code in the box below: HFIHLK
(if the code is not entered correctly, the survey will not be submitted)
