JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
LindaBen Service Hours and Impact Form
Thank you for providing service hours to our various programs. Your effort is very important to us. Please use this form to enter necessary information so we can keep track of your volunteer hours.
Sign in to Google
to save your progress.
Learn more
* Required
Email
*
Your email
Name (Last, First)
*
Your answer
Workplace or School Affiliation
Your answer
Date
*
MM
/
DD
/
YYYY
Hours Served (i.e. Enter 2 for 2 hours)
*
Your answer
Community Impact (i.e. Pounds of Food Received or Rescued, Pounds of Food Distributed/Delivered, # Families & Individuals Served, Total Diapers Distributed, # of outreach made, etc.) note: use NA as default
*
Your answer
Service Performed
Choose
Board meeting
Advocacy
Human Resource & Volunteer Management
Program Development, Policies & Procedures
Communications (Social Media, Newsletter, Blog, Photography)
Technology Support (Website Development, Google Workspace)
Finance
Grant writing
Capacity Building
Fundraising & Donor Management
Language Liaison & Translation
Community Pantry (Lead)
Community Pantry (Food Sort/Prep)
Community Pantry (Intake Form, TEFAP)
Community Pantry (Diapers)
Community Pantry (Food Distribution)
Community Pantry (Clean up)
Community Pantry (Food Delivery)
Community Pantry (Food Rescue)
Blessings in a Backpack
Health and Wellness Advocacy
Training
Others
Program
Choose
Health and Wellness Equity
Hunger for Health (Prince George's County)
Hunger for Health (Howard County)
Blessings in a Backpack
Mobile Food Market
Others
Extra Notes (Add here additional information based on service performed)
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
Forms
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
Terms of Service
Privacy Policy