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Johnson City Elks Lodge Volunteer Hours Submission Form
Please complete this form so that your hours can be submitted to the Grand Lodge. All community activities count as volunteer hours. If you have a question whether you can count something as a volunteer hours please ask the Secretary.
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Email
*
Your email
Date of Volunteer Hours:
*
MM
/
DD
/
YYYY
Committee:
Please select from the list the Committee to assign these volunteer hours. This is optional, but better helps us to track hours.
Choose
Auditing & Accounting - 100
Community Project & Activities - 201
Youth Activities - 203
Hoop Shoot - 204
Drug Awareness - 205
Americanism - 301
Elks National Foundation - 302
Flag Day - 303
Memorial Day - 304
Membership - 305
Lodge Activities - 306
Veterans Services - 307
Accident Prevention - 400
PER Assocation - 500
Standing Relief - 600
Public Relations - 700
Ritualistic - 901
Soccer Shoot - 902
Government Relations - 903
State Major Project - 904
Club Board - X24
Board of Trustees - X25
Memorial Day Parade (Lodge) - X27
Lodge Bulletin - X34
Scholarships - X36
Kids Christmas - X37
Program:
*
Please select a program from the list to assign these volunteer hours. Please try to pick the appropriate program. If you can't find an appropriate program, choose "Categories not covered".
Choose
Youth Scholarships - 1001
Student of the Month/Year - 1002
Scouting Programs - 1003
Youth Activities - 1004
Antlers Program - 1005
Youth Athletic Programs - 1101
Hoop Shoot - 1102
Soccer Shoot - 1103
Special School Programs - 1201
Handicapped Programs - 1202
Special Equipment Used - 1203
State Major Project - 1204
Lodge Major Project -1205
Patriotic Programs - 1301
Veterans Service Events -1401
Veterans Service Adopt-a-Vet - 1402
Veterans Service Army of Hope - 1403
Community Service Donations - 1501
Health Fairs/Blood Banks - 1502
Lodge Facilities Donated - 1503
Senior Citizen Programs - 1504
Food Basket Programs - 1505
Natural Disaster Relief Program, Inc. - 1508
Public Service/Citizen Recognition Programs - 1601
ENF Donations - 1701
Drug Awareness Programs - 1801
Auxiliary Organizations - 1901
Categories not covered - 9999
Name of Event or Activity:
Please describe the Event or Activity involved in these volunteer hours.
Your answer
Number of Participants:
Count individuals - not couples, teams or groups.
Your answer
Number of Elks:
Count individuals - not couples, teams or groups.
Your answer
Number of Helpers:
Count individuals - not couples, teams or groups.
Your answer
Total Elk Hours:
*
Indicate total hours - If 6 Elks worked 6 hours (6 x 6 = 36 total hours)
Your answer
Total Helper Hours:
Indicate total hours - If 6 Helpers worked 6 hours (6 x 6 = 36 total hours)
Your answer
Elk Miles:
*
Mileage traveled in preparation for an event itself. (Use the number of people x round trip miles)
Your answer
Helper Miles:
Mileage traveled in preparation for an event itself. (Use the number of people x round trip miles)
Your answer
Non-Cash Contributions:
Cash value of contributions including hall donations, food, band, clothing, bingo, parties, gifts, eyeglasses, etc. -- Do NOT include hours or mileage.
Your answer
Cash Donations:
Actual cash, checks, money orders or purchase value or savings bonds donated.
Your answer
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