VOLUNTEER SERVICE DAY REPORTING Use this form for all direct service days where you provided services for a member at their home or remotely when assisting with technology. VOLUNTEER NAME CARE MEMBER NAME CITY —Please choose an option—Cleveland HeightsHighland HeightsLyndhurstMaple HeightsMayfield HeightsMayfield VillageRichmond HeightsSolonSouth Euclid DATE OF SERVICE TIME SPENT(MAX 2 Hours) .511.52 INTERIOR OR EXTERIOR *Check all that apply. InteriorExteriorRemotely SERVICES Battery ChangesKitchen CleanupOrganizationMinor RepairsTech AssistanceTrash RemovalWindow CareYard CareOther NOTES Please prove you are human by selecting the star.
