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