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VOLUNTEER Activity Report
1. Volunteer Activity Report
1
. Today's date
MM
DD
YYYY
Enter the date of this report
Today's date Enter the date of this report Month
/
Day
/
Year
2
. Volunteer Name:
Volunteer Name:
Last Name
First Name
3
. Volunteer Phone Number:
Volunteer Phone Number:
4
. Services were provided in the following county:
Services were provided in the following county:
01 Baldwin
02 Bibb
03 Crawford
04 Jones
05 Monroe
06 Putnam
07 Twiggs
This report is designed to capture a maximum of 10 sessions of service within the reporting period by month. If you exceed 10 sessions within a month, please submit a second activity report for the additional period.
5
. This report reflects the services provided for the period BEGINNING:
Month
Date
Year
Period START Date
Jan
Feb
March
April
May
June
July
Aug
Sep
Oct
Nov
Dec
This report reflects the services provided for the period BEGINNING: Period START Date Month
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Date
2013
2014
2012
Year
6
. This report reflects the services provided for the period ENDING:
Month
Date
Year
Period ENDING Date
Jan
Feb
March
April
May
June
July
Aug
Sep
Oct
Nov
Dec
This report reflects the services provided for the period ENDING: Period ENDING Date Month
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Date
2013
2014
2012
Year
7
. Please enter date(s) of service for this reporting period
Day
Date
Hours
Day 1
Sun
Mon
Tues
Wed
Thur
Fri
Sat
Please enter date(s) of service for this reporting period Day 1 Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Date
.25
.50
.75
1.0
1.25
1.50
1.75
2.0
2.25
2.50
2.75
3.0
3.25
3.50
3.75
4.0
4.25
4.50
4.75
5.0
5.25
5.50
5.75
6.0
6.25
6.50
6.75
7.0
7.25
7.50
7.75
8.0
8.25
8.5
8.75
9.0
9.25
9.5
9.75
10.0
10.25
10.50
10.75
11.0
Hours
Day 2
Sun
Mon
Tues
Wed
Thur
Fri
Sat
Day 2 Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Date
.25
.50
.75
1.0
1.25
1.50
1.75
2.0
2.25
2.50
2.75
3.0
3.25
3.50
3.75
4.0
4.25
4.50
4.75
5.0
5.25
5.50
5.75
6.0
6.25
6.50
6.75
7.0
7.25
7.50
7.75
8.0
8.25
8.5
8.75
9.0
9.25
9.5
9.75
10.0
10.25
10.50
10.75
11.0
Hours
Day 3
Sun
Mon
Tues
Wed
Thur
Fri
Sat
Day 3 Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Date
.25
.50
.75
1.0
1.25
1.50
1.75
2.0
2.25
2.50
2.75
3.0
3.25
3.50
3.75
4.0
4.25
4.50
4.75
5.0
5.25
5.50
5.75
6.0
6.25
6.50
6.75
7.0
7.25
7.50
7.75
8.0
8.25
8.5
8.75
9.0
9.25
9.5
9.75
10.0
10.25
10.50
10.75
11.0
Hours
Day 4
Sun
Mon
Tues
Wed
Thur
Fri
Sat
Day 4 Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Date
.25
.50
.75
1.0
1.25
1.50
1.75
2.0
2.25
2.50
2.75
3.0
3.25
3.50
3.75
4.0
4.25
4.50
4.75
5.0
5.25
5.50
5.75
6.0
6.25
6.50
6.75
7.0
7.25
7.50
7.75
8.0
8.25
8.5
8.75
9.0
9.25
9.5
9.75
10.0
10.25
10.50
10.75
11.0
Hours
Day 5
Sun
Mon
Tues
Wed
Thur
Fri
Sat
Day 5 Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Date
.25
.50
.75
1.0
1.25
1.50
1.75
2.0
2.25
2.50
2.75
3.0
3.25
3.50
3.75
4.0
4.25
4.50
4.75
5.0
5.25
5.50
5.75
6.0
6.25
6.50
6.75
7.0
7.25
7.50
7.75
8.0
8.25
8.5
8.75
9.0
9.25
9.5
9.75
10.0
10.25
10.50
10.75
11.0
Hours
Day 6
Sun
Mon
Tues
Wed
Thur
Fri
Sat
Day 6 Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Date
.25
.50
.75
1.0
1.25
1.50
1.75
2.0
2.25
2.50
2.75
3.0
3.25
3.50
3.75
4.0
4.25
4.50
4.75
5.0
5.25
5.50
5.75
6.0
6.25
6.50
6.75
7.0
7.25
7.50
7.75
8.0
8.25
8.5
8.75
9.0
9.25
9.5
9.75
10.0
10.25
10.50
10.75
11.0
Hours
Day 7
Sun
Mon
Tues
Wed
Thur
Fri
Sat
Day 7 Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Date
.25
.50
.75
1.0
1.25
1.50
1.75
2.0
2.25
2.50
2.75
3.0
3.25
3.50
3.75
4.0
4.25
4.50
4.75
5.0
5.25
5.50
5.75
6.0
6.25
6.50
6.75
7.0
7.25
7.50
7.75
8.0
8.25
8.5
8.75
9.0
9.25
9.5
9.75
10.0
10.25
10.50
10.75
11.0
Hours
Day 8
Sun
Mon
Tues
Wed
Thur
Fri
Sat
Day 8 Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Date
.25
.50
.75
1.0
1.25
1.50
1.75
2.0
2.25
2.50
2.75
3.0
3.25
3.50
3.75
4.0
4.25
4.50
4.75
5.0
5.25
5.50
5.75
6.0
6.25
6.50
6.75
7.0
7.25
7.50
7.75
8.0
8.25
8.5
8.75
9.0
9.25
9.5
9.75
10.0
10.25
10.50
10.75
11.0
Hours
Day 9
Sun
Mon
Tues
Wed
Thur
Fri
Sat
Day 9 Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Date
.25
.50
.75
1.0
1.25
1.50
1.75
2.0
2.25
2.50
2.75
3.0
3.25
3.50
3.75
4.0
4.25
4.50
4.75
5.0
5.25
5.50
5.75
6.0
6.25
6.50
6.75
7.0
7.25
7.50
7.75
8.0
8.25
8.5
8.75
9.0
9.25
9.5
9.75
10.0
10.25
10.50
10.75
11.0
Hours
Day 10
Sun
Mon
Tues
Wed
Thur
Fri
Sat
Day 10 Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Date
.25
.50
.75
1.0
1.25
1.50
1.75
2.0
2.25
2.50
2.75
3.0
3.25
3.50
3.75
4.0
4.25
4.50
4.75
5.0
5.25
5.50
5.75
6.0
6.25
6.50
6.75
7.0
7.25
7.50
7.75
8.0
8.25
8.5
8.75
9.0
9.25
9.5
9.75
10.0
10.25
10.50
10.75
11.0
Hours
8
. Select the type of services provided, please select ALL that apply:
Select the type of services provided, please select ALL that apply:
Barton Reading Tutor
General Reading Tutor
Math Tutor
Language Tutor
Science Tutor
Social Studies Tutor
ESL Tutor
Classroom Assistance Provided
Distance Learning Student served
Community Advocate
9
. Do you need additional support? Training?
Do you need additional support? Training?
10
. General comments/feedback:
General comments/feedback:
If you would like to keep a copy of this report, please select the PRINT option on your browser prior to entering DONE.
Thanks for your support,
Sharon Cloud
Special Projects Coordiantor
Adult Education Program
Central Georgia Tecnical College
3300 Macon Tech Drive
Macon, GA 31206
scloud@centralgatech.edu
478-757-2674 office
770-366-6474 cell
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