PINE TREE HOSPICE            VOLUNTEER TIMESHEET            INDIRECT CARE
                         
VOLUNTEER:     MONTH and YEAR:
                         
PTH licensure REQUIRES documentation of volunteer services          
Do NOT include attendance at Committee or Team meetings; these hours are recorded at the meeting
  A separate form is used for Continuing Education            
Please scroll down to see a list of services                
      PLEASE enter your time in 1/4 hour segments using decimals (for example, 2.25)
DATE DESCRIPTION OF SERVICE OR EVENT HOURS TRAVEL
TOTALS:
DESCRIPTION OF SERVICES INCLUDE:       (please specify what the "activities" are)  
  Adult Bereavement Indirect Activities Hospice Committee Activities    
  Board Development Activities   Nights of Service Indirect Activities    
Board Executive Activities
Office Work
  Board of Directors Activities   Public Relations        
  Bereavement Committee Activities Regional Team Activities      
  Education Committee Activities   Other (Please Specify)      
  Finance Committee Activities                
                         
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