Hours can be E-mailed to Judy Morgan at Grams4two@aol.com .
Click here for a print version of the form below to mail in:
REPORT YOUR VOLUNTEER AND COMMUNITY
SERVICE HOURS
Retired teachers are a rich source of talent for volunteer and community
service activities.
Use this form to report your service hours for January through December, 2014.
Clip or copy and mail this form to Judith Morgan, 265 Jade Boulevard, Streetsboro, OH 44241
Check the areas where you volunteer and give an estimate of your
total volunteer hours below.
_____Animal welfare _____Historical
societies _____Patriotic organizations
_____Schools
_____Civic Groups
_____Hospitals _____Political
organizations _____Senior Centers
_____Coaching _____Libraries
_____Proctoring
_____Social Services
_____Crusades/Driving _____Museums
_____Professional organizations _____Tutoring
_____Environmenal _____Nursing Homes _____Religious
organizations _____PCRTA
_____Handicap Assist _____Parks and Recreation
_____Retirement homes _____ORTA
_____Other (list)______________________________________________________________________________
Your Name ___________________________________________________________________________________
Actual
or estimated hours:
January_____ February______ March ______April ______ May________
June_________
July______August _______ September______October _____ November________ December _______
ORTA
collects this data to let the state and communities realize the economic impact and value that our members bring through their
volunteer efforts.
Our Defined Benefit pension lets us be free to volunteer our time rather than have
to take on a second job or worry about our pension expiring before we do.
Please look back through your calendars and
fill out this form. You may surprise yourself with how much time you actually volunteer!
Judy
REPORT VOLUNTEER AND COMMUNITY SERVICE
HOURS
Retired teachers are a rich source of talent for volunteer and community service activities.
Use this form to report your service hours for January through May.
Clip or copy and mail this form to Judith Morgan, 265 Jade Boulevard, Streetsboro, OH 44240 or
call her to give her your hours—330-653-8174.
Check the areas where you volunteer and estimate your total volunteer hours for each month.
| Animal Welfare | | Patriotic Organizations |
| Civic Groups | | | Political Organizations | |
| Coaching | | | Professional Organizations |
| Crusades and Drives | | Religious Organizations |
| Environmental Projects | | Retirement Homes | |
| Handicapped
Assistance | | Schools | | |
| Historical Societies | | Senior Centers | | |
| Hospitals | | | Service organizations | |
| Libraries | | | Social Organizations | |
| Museums | | | Social Services | | |
| Nursing Homes | | Tutorial Services | |
| Parks and Recreation | | Other (List) |
Name __________________________________
Name __________________________________
Jan-March
Hours _______________
April Hours _______________
May
Hours _______________