Orion- Meridian- Zenith Record of Volunteer Hours

Please fill out the following form, and is due no later than the end of the month in which you volunteer. Please fill out a separate form for each organization you work with. Thank you for your cooperation!

Employer*

Employee Name*

First Name Middle Name Last Name

Employee Email

example@example.com

Date of volunteer activity *

MonthDay Year

Employer*

Number of volunteer hour(s) for this event*

EX: 8

Total number of hours volunteered this year*

EX: 16

Description of activity *

Signature

Clear

Today's date

MonthDay Year

Hidden Variable:

mfiles tag

Record of Volunteer Hours

Employee Information

Volunteer Information

Confirmation