VOLUNTEER Activity Report

1. Volunteer Activity Report

 
1. Today's date
MM DD YYYY
Enter the date of this report
/
/
2. Volunteer Name:
3. Volunteer Phone Number:
4. Services were provided in the following county:
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:
MonthDateYear
Period START Date
6. This report reflects the services provided for the period ENDING:
MonthDateYear
Period ENDING Date
7. Please enter date(s) of service for this reporting period
DayDateHours
Day 1
Day 2
Day 3
Day 4
Day 5
Day 6
Day 7
Day 8
Day 9
Day 10
8. Select the PROGRAM OF SERVICE, please select ALL that apply:
9. STUDENT SUPPORT SERVICES PROVIDED
10. Do you need additional support? Training?
11. 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,
Mary Marshall
Volunteer Coordinator
Adult Education Program
Central Georgia Tecnical College
3300 Macon Tech Drive
Macon, GA 31206
mmarshall@centralgatech.edu
478-757-3680
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