This form is for members to report their charitable hours.
Your Name *
Membership ID *
Date Work Performed *
Enter the date on which the work was performed
Enter the number of hours worked
Type of Work Performed *
Charity WorkLodge Internal Work
Description of Work Performed
Please give a brief description of the work performed. Please include mileage and expenses.
Name of the Charity
Please type the name of the charity if applicable