VOLUNTEER TIME SHEET Volunteer * First Name Last Name Date * MM DD YYYY DIRECT PATIENT & FAMILY CONTACT Enter the patient number ACTIVITY/SERVICE (check all that apply) Visit with patient Caregiver relief/respite Delivery, shopping or errands for patient/family Music/Art/Pet Therapy Barber/Stylist/Massage Services Bereavement Support Other Volunteer Time for Direct Patient/family Contact Enter the total time spent on the above activity. (example: 2 hrs. & 20 min.) Documentation Time Enter time spent filling out patient report up to 15 min. Travel Time Enter total time round trip. ADMINISTRATIVE SUPPORT (check all that apply) Receptionist Patient information packets Patient charts/filing Tuck-in calls Acknowledgement/thank you letters Data Entry Bereavement letters Other Volunteer Time for Administrative Support Enter the total time spent on the above activity. (example: 2 hrs. & 20 min.) Travel Time Enter total time round trip. GENERAL VOLUNTEER ACTIVITY/SERVICE (check all that apply) Crafting for care facility residents Crocheting afghans Memory bears Volunteer training/volunteer event Community outreach event/marketing Entertainment Other General Volunteer Activity Time Enter the total time spent on the above activity. (example: 2 hrs. & 20 min.) Travel Time Enter total time round trip. Comments Your time sheet has been sent to Volunteer Coordinator, Jenny Lolli Fink.Thank you!Return to Volunteer Portal click here
