Providing Independence Through Technology
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This is the time period for which you are submitting hours (i.e. Jan 1, 20XX - March 30, 20XX)
Please enter the number of volunteer hours worked in the table below.
Key
Design & Test = Engineering Design/Testing Hours Fabrication = Machining and Fabrication HoursMedical = (OT/PT/Nurse) Hours Team Mtg. = Team Meeting HoursAdmin = Office / Computer Center Hours Project Total = Calculated total/Project
Project Name
Project 2 Name
Project 3 Name
Project 4 Name
Project 5 Name
If you are unsure which category your hours fall into, please list them below with a description of the work you did. You may also include comments or relevant notes here.
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