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Hours Report Form
First month of report:
Jan. |
Feb. |
March |
April |
May |
June |
July |
August |
Sept. |
Oct. |
Nov. |
Dec. |
Please include the location with each job title, e.g., "Meals on Wheels North Kingstown" or simply, "MOW NK".
Job (1): Hours Minutes
Job (2): Hours Minutes
Job (3): Hours Minutes
Job (4):
Hours
Minutes
Second month of report:
Jan. |
Feb. |
March |
April |
May |
June |
July |
August |
Sept. |
Oct. |
Nov. |
Dec. |
Job (1): Hours Minutes
Job (2): Hours Minutes
Job (3): Hours Minutes
Job (4):
Hours
Minutes
Third month of report:
Jan. |
Feb. |
March |
April |
May |
June |
July |
August |
Sept. |
Oct. |
Nov. |
Dec. |
Job (1): Hours Minutes
Job (2): Hours Minutes
Job (3): Hours Minutes
Job (4):
Hours
Minutes
Notes:
Not all of your selections may show up on the feedback form, but they will transmit properly.
If you are reporting hours for two or more jobs or months on one orm you do not need to total them.
© 2004-07, Seniors Helping Others, Wakefield RI 02879