2015-16 Volunteer & Business Involvement Report
In order to recognize and honor businesses and other outside organizations for their contributions on a county-wide basis (BASES), please complete this form for businesses or organizations who have contributed either volunteer service, equipment or other items, or financial aid to your school this past school year. Please include only one business or organization for each form.  Forms need to be completed by June 18 (June 12 - Northwoods Elementary). If you have any questions in regards to this form please contact Suzie Ulbrich at 989-2021 ext. 20302.  Thank you for your assistance.
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School *
Last Name of Person Submitting Report *
First Name of Person Submitting Report *
Business/Organization *
Choose (If not listed, select other and add below)
Business Location *
Please list the specific location of the business selected above.
Business/Organization
If not listed above, Please add below
Business Location
Business/Organization Contact Person
Example: John Smith
Business/Organization Contact Number
Example: 910-555-5555
Type of Services Provided *
Example: Donation of Pizzas; Donation of Computers; Guest Speakers
Total Financial Value (No $ sign needed) *
Example: 125.45
Business/Organization Volunteer Hours (If any - Include number in hours only)
Example: 22
General Volunteers
Estimates provided help us keep track of volunteer efforts made by individuals in our community, not associated with businesses
Volunteer Name
Example: Joe Smith
Estimated total number of volunteer hours contributed
Example: 20
Submit
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