Volunteer Activity Report No Visit
Volunteer's Full Name
*
First Name
Last Name
Volunteer's ID Number
*
County
*
Please Select
Manatee
Sarasota
Charlotte
Desoto
Date of Service
*
-
Month
-
Day
Year
Date Picker Icon
Start and End Time
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
15
30
45
Minutes
AM
PM
AM/PM Option
until
until
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
15
30
45
Minutes
AM
PM
AM/PM Option
Volunteer Services Role
*
Please type in your Volunteer Services Role (e.g.: Venice HH Host, Sarasota HH Pt Care, Bradenton Admin, etc.)
Electronic Signature
*
Please Select
I electronically sign this form
Submit
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