Solutions in Sight: Volunteer Tracker

What volunteer activities did you do? Check all that apply.

I volunteered at a Braille Institute community outreach event.

I attended a Braille Institute community event.

I distributed materials to doctors or other health care professionals. (Please list the names of the doctors or the medical facility, and the city.)

I distributed materials on my own or with a group in my community. (Please tell us where you distributed information.)

I told someone about Braille Institute. (Please briefly explain.)

I blogged about Braille Institute.

I promoted Braille Institute online via email, Facebook, MySpace, LinkedIn,Twitter or other social media.

Other (please describe):

If you distributed materials, please include the quantity of each type:

Wallet Cards

Brochures

Posters

Volunteer Guides

Caregiver Guides

Tote Bags

Magnifiers

On behalf of which Braille Institute Regional Center did you volunteer? Check all that apply.

Los Angeles

Orange County

Rancho Mirage

Santa Barbara

San Diego

Not applicable — I’m not working directly with any regional center.

Solutions in Sight: Volunteer Tracker

Volunteer Tracker

Your Name:

City:

State/Province:

Zip Code:

E-mail:

When did your volunteer activity(ies) take place?

During this time frame, how many total hours did you spend volunteering for Braille Institute?
(Please round to the nearest hour.)

What volunteer activities did you do? Check all that apply.

If you distributed materials, please include the quantity of each type:

On behalf of which Braille Institute Regional Center did you volunteer? Check all that apply.

Is there anything you’d like to share, or any feedback you’d like to give about your volunteer experience?

Solutions in Sight: Volunteer Tracker

Volunteer Tracker

Your Name:

City:

State/Province:

Zip Code:

E-mail:

When did your volunteer activity(ies) take place?

During this time frame, how many total hours did you spend volunteering for Braille Institute?(Please round to the nearest hour.)

What volunteer activities did you do? Check all that apply.

If you distributed materials, please include the quantity of each type:

On behalf of which Braille Institute Regional Center did you volunteer? Check all that apply.

Is there anything you’d like to share, or any feedback you’d like to give about your volunteer experience?

During this time frame, how many total hours did you spend volunteering for Braille Institute?
(Please round to the nearest hour.)