GLAM Hours Submission Form

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Please fill out the following form to submit your hours.

Your name

What was the date of the program? *

YYYY

Were you a character or sidekick? (Write your character under “other”) *

Sidekick

Other:

Who did we visit for this program?

i.e. Ryan House, Thunderbird Hospital, Reid Park Zoo, Tucson Festival of Books, ALS Walk, Ricardo Manzo, Lynn Urquides, etc

Were these clinical hours or non-clinical hours? *

Clinical hours are hospital-related volunteering (located in a hospital, Ryan House, or directly with patients). Non-clinical are unrelated to hospital volunteering (a walk/fundraiser, community event, Reid Park Zoo, or book readings at schools). Please note that virtual sidekicking a hospital-related visit does NOT count for clinical hours if you did not interact directly.

Clinical

Non-clinical

How many hours did you volunteer? (Include travel time, and get ready time if you were a character) Numerical values only (1, 2.5, 4, etc) *

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