Health Fair Planning Template Pack Page 26
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32Appendix G
In-Kind Volunteer Donation Worksheet
(You may use this worksheet to account for in-kind volunteered time, including planning time and for
the event itself.)
Name of Event: ________________________________________________________________
Name of Agency Sponsoring Event: ________________________________________________
Event Date(s) (include month/dates/year): ___________________________________________
Event Coordinator(s): ____________________________________________________________
Total Number of Volunteers: ______________________________________________________
Total Number of Participants (adults and children):_____________________________________
Total Volunteer Work Time
Total Hours Worked
Multiply the Total Hours
for All Volunteers
Worked by $21.36 (or the Most
Current Designated Rate)
Add together all volunteer work
time/hours. Volunteer work
time/hours could include travel
time, but it does not have to
$_________________
include it.
________ hours
You may want to keep record of
all planning and/or training time.
Multiply volunteer work time by
$21.36/hr (the 2010 rate is most
current at this writing). Rates
change on a yearly basis, so check
the following website for the most
current rates:
eer_time?s=volunteer%20time
Total Volunteer Value for the Event
Note: you do not have to collect travel time to and from home and other places; however, if you do
collect such data, it will give you a more accurate total of your in-kind contributions.
Total Volunteer Value for this Event (value in dollars) $______________________
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