NDSU Master Internet Volunteer Classes

Master Internet Volunteer
Activity Report Form
Please use the following form to record your volunteer activities.

1. First Name	2. Last Name

3. Email Address

4. Please select the class you attended.

5. Date of your volunteer activity. (mm/dd/yy)

6. Describe your volunteer activity.
(i.e. answered questions over the phone, taught a workshop, created web pages, tutoring, etc.)

7. How many hours did you spend volunteering and preparing for your volunteer work?

Volunteer time

Preparation time

8. Where did the volunteer activity take place?

City

County

9. Location of your volunteer activity?

School

Library

Extension Office

Other

10. Round trip mileage?

11. How many people did you reach?

Youth

Adults

12. What are you most proud of as a result of this volunteer activity?

13. Please enter stories, comments, or any additional information you would like to share.

Do you have any questions or concerns about the information requested by this form? If so, please send them in an email message to lflage@ndsuext.nodak.edu Thank You.