Please report your Community Hospital and Nursing Home projects below.
Date of this report - mm/dd/yy
Auxiliary Number District Number
Enter Name of person completing online report
Enter Auxiliary Chairman's name
street address
city state and zip
Phone 999-999-9999
Email:
You must enter an email address where you can be reached. If the chairman doesn't have an email address, enter the email
of the person completing the report.
Please do not enter dollar signs or commas in numeric amounts.
Number of Volunteers
Hours
Amount/Value
Auxiliary members volunteering in Community Nursing Homes and Hospitals or facilities where we have no VAVS Representatives
N/A
Auxiliary Members making donated items for Community Nursing Homes and Hospitals or facilities where we have no VAVS Representatives
$
Auxiliary sponsored non-member volunteers in Community Nursing Homes and Hospitals or facilities where we have no VAVS Representatives
Auxiliary sponsored non-members making donated items for Community Nursing Homes and Hospitals or Facilities where we have no VAVS Representatives
Did your Auxiliary or Auxiliary members participate in the Hospitalized Veteran Writing Project?
Describe your Auxiliary’s Outstanding Hospital Project: (use extra paper if necessary)
Any other information you want the Department Chairman to know: