EBSC Levy Submission (due at the end of each month)
Swimmer's Name
*
Last Name
First Name(s)
E-mail
*
Phone Number
-
Area Code
Phone Number
Hours - Please list date you worked, job description, and hours in braLevy ckets, and total hours worked for volunteer #1, then do the same thing for volunteer #2 (if any) and so on. Then total all your hours at the end of the page.
Name of Volunteer #1
Date, Job, (hours in brackets)
Total Hours Worked for Volunteer #1
Name of Volunteer #2
Date, job, (hours in brackets)
Total Hours Worked for Volunteer #2
Name of Volunteer #3
Date, Job, & (hours in brackets)
Total Hours Worked for Volunteer #3
Name of Volunteer #4
Date, Job, & hours in brackets
Total Hours Worked for Volunteer #4
Name of Volunteer #5
Date, Job (and hours in brackets)
Total Hours Worked for Volunteer #5
Total hours for Volunteers 1 through 5
Once I verify your hours, you will receive an email from me, stating that I will cash your cheque or I have shredded your cheque.
Submit Form
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