CARE Case Notes
Only for those in the CARE Program
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What is your name? *
Who are the clients you worked with? *
What was the date of your service? *
MM
/
DD
/
YYYY
How many hours did you spend assisting the client? *
Use decimals to indicate portions of hours. Example: one and a half hours = 1.5 hours.
Give a short explanation of the services written in third person: *
Example: Volunteer (your name) visited client (client name) at home to practice English. They reviewed ESL study materials, made flash cards, and shared tea. They scheduled their next appointment for ____.
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