Print this document, fill in data by hand, and mail to Extension Office at:
Vanderburgh Co. CES; 13301 Darmstadt Road, Evansville, IN 47725
Fax: (812) 867-4944
Name: _________________________________________________________________________________
Date |
Description of Volunteer Work or Training Attended |
Location |
# Hours Volunteer |
# Hours Advanced Training |
Number of Contacts |