Volunteer Monthly Report

Please fill out the required fields, enter any activy information and descriptions of contacts:

Have you had contact with the client this month? *
Have you had contact with the social worker this month? *
If YES, was it by:

Activity Information

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Description of Contacts

I hereby give consent to:
this information will be reviewed by the Volunteer department in the Family & Children’s Services of the Waterloo Region.
 
If you have finished completing the form, please check the box below. *

Family & Children's Services of the Waterloo Region
200 Ardelt Avenue
Kitchener, ON  N2C 2L9
Phone: 519-576-0540 x3144
E-Mail:volunteer.services@facswaterloo.org