Volunteer Time and Visit Summary

Thank you for committing your volunteer time to CICOA. Please complete all fields below. If you are experiencing issues please email volunteer@cicoa.org.

Volunteer Time and Visit Summary

  • Date Format: MM slash DD slash YYYY
  • Please select the closest amount of time and include travel time if applicable. If you attempted to reach the client but could not connect, please select 15 minutes (or more if appropriate).
  • (Submit time in hours. Example: 15 minutes=0.25 hours. Please include travel time.)
    Please enter a number greater than or equal to 0.