University of Michigan Health System
Volunteer Service Department
OLLI Volunteer Hours Reporting Sheet
Note: for recording purposes, please round to the nearest Quarter of an hour (.0, .25, .5 or .75)
Volunteer Name:(Last, First)					Telephone Number:
	Month:					Month:
Day			Total		Day			Total
1					1
2					2
3					3
4					4
5					5
6					6
7					7
8					8
9					9
10					10
11					11
12					12
13					13
14					14
15					15
16					16
17					17
18					18
19					19
20					20
21					21
22					22
23					23
24					24
25					25
26					26
27					27
28					28
29					29
30					30
31					31
	Monthly total:					Monthly total:
To report: Call OLLI office (734-998-9351 or 761-2560) and report hours or send in
form to OLLI office: (2401 Plymouth Rd.,Suite C, Rm. 1163, Ann Arbor, MI 48105)