Case Notes
All volunteer time must be captured. Please include travel time, planning time, and any face-to-face interaction time as part of your volunteer role. Please complete this short form so that we can continue to help refugee clients in the future.
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Your name *
Date of service *
Amount of time spent volunteering: *
In 15 minute increments
Travel time spent: *
In 15 minute increments
Please list all clients who were present during the volunteer session you are recording: *
Your hours count per person present. For example, if you volunteered two hours with X, Y, and their child Z, we are able to capture a total of 6 hours. Please let us know all participants of your meeting (s)!
Number of miles driven: *
All miles driven to, during, and from volunteering.
Where was the service provided? *
Did you perform a CORE service? *
A core service is a required service that must be completed in the R&P(Reception and Placement) period.
Please include a short description of the time you spent volunteering: *
Example: (Your name) took (name of client) to the Department of Social Services to apply for food stamps and Medicaid. He got the receipt and (your name) drove the client home. (Your name) left the (receipt/other paperwork/etc.) with the client and advised him to keep it in a safe place until he can share it with his Case Manager at their next meeting.
Items donated *
Did you give the client anything? (e.g. money, groceries, clothing, household items, bicycles, electronics, etc.) If so, what item (s) and what was the value of the item (s) you donated?
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