Orchard Volunteer Hours Documentation Form

Orchard Volunteer Hours Documentation Form

Enter your volunteer details and service log, then submit for staff verification and documentation.
Volunteer Information
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mailing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Emergency Contact Name

First NameLast Name
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Purpose of documentation
Documentation Purpose
Volunteer Placement
Was the placement approved in advance by Orchard staff?
Service Log and Reporting Period
Daily Service Log
Total Hours This Reporting Period
Reporting Period Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Reporting Period End Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Agreements and Signature
Orchard Staff Approver and Supervisor
Other supervisor's name
Certification of Accuracy
Hours Verification
Confidentiality
Volunteer Role Assignment
Electronic Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty: