Name:	Unit:	Month:	Year:
Date	Time In	Time Out	Vol. Hours	Description of Activity
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Total Volunteer Hours for Month
Volunteer/Student Signature	Date
VDOF Employee Name	VDOF Employee Signature	Date