Please note that this is a summary form: it does NOT replace the Excel Timesheet or any other method you prefer to use for tracking your hours throughout the year. Instead, this is a simplified, one-page version to record the three reporting categories for 2018.

The items with a red asterisk are required. Enter a number between 0 and 900 in the appropriate box. Decimals can be used for less than whole hours.
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The total number of required hours for ALL THREEE CATEGORIES is 40; please note required minimum in each category.

Please provide the total number of hours for each of the following categories for 2018 (October 1, 2017 through September 30, 2018). You may include estimated hours through September 30, 2018.
 
The items with a red asterisk (*) are required. Enter a number between 0 and 400 in the appropriate box. Decimals can be used for less than whole hours.

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* 1. First Name

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* 2. Last Name

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* 3. Continuing Education: (Any/All SCMG sponsored or approved Education Classes –  Required minimum 10 Hours)

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* 4. Community Outreach: (Public Education - Required Minimum 10 Hours)

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* 5. Volunteer Hours: (Required minimum 20 Hours – Includes Administrative Hours)

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