VOLUNTEER REPORT FORM

Organizatoinal Name

VOLUNTEER REPORT FORM

Thank you to all the volunteers for completing this form. It is important that all volunteers complete this form after each visit.

Please make sure to fill in each section.

Volunteer Name:
Date of Service:
Name of Client:
Hours of Service:

Comments from the visit or transport information.

PLEASE PRINT OUT THIS FORM AND MAIL IT TO:
DESERT SAMARITANS FOR SENIORS
P.O. BOX 10967
PALM DESERT, CA 92255