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Volunteer Reporting Form

Please use this form to report your recent volunteer activity or donation of goods you would like to apply toward your family's 40 hour per year commitment. $20 value = 1 hour volunteer time. You may group like tasks/items from over a range of days, rather than submit separate reports. Ie. Kitchen Prep, 5 hours total, 10/5-9/2015.

Thank you for your support and commitment to LCMCS!

Family name

Date of volunteer service

If reporting a task completed on more than one day, you may enter a range of dates. ie. Kitchen prep, 5 hours total, 10/5-9/2015

Service/event/materials description

Number of hours or value of goods donated

Please indicate whether you have entered volunteer hours or value of donation

# of Hours Volunteered

Donation Value $

Volunteer name/electronic signature

First Name

Last Name

Email address

Verify Email