Monthly Report - Friends Program

The FRIENDS Program Monthly Report

Please submit by the 10th of each month

Report for Month of(Required)

Child Friend's Name(Required)

First Last

Child Friend's School(Required)

Child Friend's Counselor #1

Child Friend's Counselor #2

Big Friend Volunteer's Name(Required)

First Last

Big Friend Volunteer's Email(Required)

How many activities did you participate in this month?(Required)

Date (Activity 1)

Name of Activity (Activity 1)

Number of Hours (Activity 1)

Date (Activity 2)

Name of Activity (Activity 2)

Number of Hours (Activity 2)

Date (Activity 3)

Name of Activity (Activity 3)

Number of Hours (Activity 3)

Date (Activity 4)

Name of Activity (Activity 4)

Number of Hours (Activity 4)

Date (Activity 5)

Name of Activity (Activity 5)

Number of Hours (Activity 5)

Date (Activity 6)

Name of Activity (Activity 6)

Number of Hours (Activity 6)

Comments about the relationship, your expectations, problems, successes, etc…

Information from child’s school or family that FRIENDS should know about… (change of address, phone number, etc.)

Activity suggestions you would like to share with other BIG FRIEND volunteers…

Name, phone number and email address of other potential FRIENDS’ volunteers…

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone Number

Email Address