First AND last name of person performing the volunteer work on behalf of your Family *
Your answer
Date the work was performed *
MM
/
DD
/
YYYY
How much time was volunteered? Please use increments of no smaller than 15 minutes (i.e. .25, .50. 75 etc.) *
Your answer
Short description of the volunteer work performed *
Your answer
If this was work for a Committee to which you are assigned, as described in Volunteer Handbook, please check the appropriate box below. (If not, check "Other") *