IEA Volunteer Activity Submission Form
Please fill out the information below. Questions should be directed to Dorie Mayfield, dlmayfie@gmail.com.
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Email *
Name *
Email Address *
Date of Volunteer Activity *
MM
/
DD
/
YYYY
Number of Hours *
Person Who Managed or Coordinated Activity *
Transfer Hours?
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Number of Hours to Transfer
Enter 0 if not transferring. Maximum of 5 hours.
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Name of Rider to Receive Transferred Hours
Enter none if not transferring.
Location & Brief Description of Volunteer Work *
A copy of your responses will be emailed to the address you provided.
Submit
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