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Report Form

Report Form for CWS Afghan Family

Please submit information regarding each contact you have the family that is being supported by the Rotary Club of Greensboro, or services that you provide for the family. If you have questions about the documentation, contact Pat Vreeland, our contact report coordinator. Email:  patcvreeland@gmail.com Mobile:  336-706-5000 _________________________
Is this for the family that Greensboro Rotary is supporting?(Required)
This form is to be used for the family being supported by Greensboro Rotary. If you are also supporting a different family, you need to report that through your contact with that family.
Name(Required)
MM slash DD slash YYYY
Use decimals and round to the nearest quarter hour. For example, .25, .5, 1.0, 1.25, etc.
Please enter a number greater than or equal to .15.
Use decimals and round to the nearest quarter hour. For example, .25, .5, 1.0, 1.25, etc.
Please enter a number greater than or equal to 0.
Your hours count per person present. For example, if you volunteered two hours with X, Y, and their child Z, we are able to capture a total of 6 hours. Please let us know all participants at your meeting(s).
All miles driven to, during, and from volunteering.
Where was the service provided?(Required)
Example: (Your Name) took (name of client) to the Dept of Social Services to apply for food stamps and Medicaid. He got the receipt and (your name) drove the client home. (Your name) left the (receipt/other paperwork/etc.) with the client and advised him to keep it in a safe place until he can share it with his Case Manager at their next meeting.
Did you give the client anything? (e.g. money, groceries, household items, bicycles, electronics, etc.) If so, what item(s) and what was the value of the item(s) you donated?

News

April 22, 2022

Angel Flight Team to Support Sick Veterans and Active Military

Contributed by Warren Ludlam Our Greensboro Rotary Angel Flight team has formed Read more...

March 2, 2022

Angel Flight Team Flies Pediatric Foot Surgery Patient

Contributed by Warren Ludlam  The Greensboro Rotary Club’s Angel Flight team continues Read more...

January 14, 2022

Angel Flight Team Flies Cancer and Lung Transplant Patients

Contributed by Warren Ludlam The Greensboro Rotary Club’s Angel Flight team continues Read more...

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Rotary Club of Greensboro

  • 330 South Greene Street, Suite 304, Greensboro NC 27401
  • 336-292-4806

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