Work Hours Reporting Form

Work Hours Reporting Form

You must submit this form to receive credit for work hours performed. You must include a description of the work performed. You may include photos if you wish. For each 8 hours of work performed you will receive a credit of $75 on your next years membership dues. To receive credit you must submit your form prior to paying your annual dues.
What is your member number? If you're on the waiting list, enter "wait list"*
If you are not 100% sure of your member number, please look at your membership card.
Name*

First NameLast Name
Email*
example@example.com
Day of Work

MonthDayYear
Date
What year will these hours be applied toward
Date(s) of work*
How many hours?*
Enter the hours for the date shown above. If multiple days were worked then complete additional forms.
Description of Work*
Photo's of Work (optional)

Browse Files

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In the field below enter the email address for the BOARD MEMBER or discipline chair who will sign off on the work you performed. Find the Board Member's email here (you need to obtain the discipline chair's email directly from him/her):

Board Member	Board Member's Email
President Derek Green	grrc.pres@gmail.com
Vice President Brian Kunze	grrcvicepresident@gmail.com
Secretary Michelle Schroeder	grrc00secretary@gmail.com
Treasurer Tom Heinrich	grrctreasurer@gmail.com
Chief Range Safety Andy Mager	grrc.rso@gmail.com
Chief Instructor Kathy Kunze	grrcchiefinstructor@gmail.com
Dave Newell	grrcboard001@gmail.com
Nate Kreimeyer	grrcboard002@gmail.com
Mike Connor	grrcboard003@gmail.com
Jim O'Meara	grrcboard004@gmail.com
Trenton Peterson	grrcboard005@gmail.com
Rick Loye	grrcboard006@gmail.com
1st Past Erik Shetney	grrc1past@gmail.com
2nd Past Rich Bipes	grrc2past@gmail.com
3rd Past Steve Naumann	grrc3past@gmail.com

Which Board member will sign off on the work you performed?*
Email address of board member
Email will be auto-populated based on the board member chosen above.
Email of Board Member or Discipline Chair who will sign off on your work*
example@example.com
Should be Empty: