Chapter 10 LVAP Hours Report

LVAP HOURS

Record your Number of Hours for Local Veteran Assistance Program
Name *

First Name Last Name
Phone Number *

Area Code Phone Number
E-mail *
Month *
Last four of SSN *
Are you a Member of DAV Arlington-Fairfax Chapter 10 or Auxiliary Unit 10 *

Yes No
Category *

A: Chapter/Department Service Work (CSO/DSO) (Set up for events, maintenance and cleaning).
Number of Hours *
Category *

B: Fundraising Efforts (Forget-Me-Nots and other approved Chapter /Unit fundraisers)
Number of Hours *
Category *

C: DAV Specific Outreach Efforts (Outreach Programs, Veteran Stand-downs, funerals, Honor Guard, planning meeting for veteran activities)
Number of Hours *
Category *

D: Veteran Assistance (Direct assistance to veterans, survivors, or families to include yard work, home repairs, grocery shopping)
Number of Hours *
Are you receiving Chapter 10's newsletter? *

Yes No
Are you following Chapter 10 on Facebook? *

Yes No
Are you following Chapter 10 on Twitter? *

Yes No
Should be Empty:

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LVAP HOURS