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 Fundraising Activities        
Board Development Activities
Hospice Committee Activities
Board Executive Activities
Nights of Service Indirect Activities
Board of Directors Activities
Office Work
Bereavement Committee Activities
Public Relations
Education Committee Activities
Regional Team Activities
Finance Committee Activities
Other (Please Specify)
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