Act Of Service
or Random Act of Kindness :-) Thank you!
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Act
What service did you provide?
Date
MM
/
DD
/
YYYY
Minutes
How many minutes involved?
Focus
(Select from 7 Areas or use Other and place in comment)
Location
(Ex: country, state, city, zip/postal code, street, etc...)
Outcome
(any measurable outcome: number helped, meals served, etc...)
YourName
or initials or secret id code :-)
ServiceType *
MemberType
Comment
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