Fields with an asterisk (*) are required.
Your time is important to us. Please use the form below to track your hours.
Volunteers may deduct the direct costs of operating their vehicles or the standard charitable mileage rate of 14 cents per mile as well as some other expenses. Volunteers should consult their tax advisor or refer to IRS Publication 526, Charitable Contributions
* First Name:
* Last Name:
* Date:
* Number of Hours: Hours 0 1 2 3 4 5 6 7 8 9 10 Minutes 0 15 30 45
* Agency/Project:
* Project Description:
