ECA Monthly Hours
Please do not combine months on this form. For example, if you are submitting January and February, submit two forms.
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Name
What month are you submitting hours for? *
Categories
Please put the total number in the correct category
ECA/Extension
Food & Nutrition
Youth/4-H
Faith Based
Community Partnership
People Contacted
Dollars Spent
Number of Items Donated
Mileage
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