VOLUNTEER HOURSCONFIRMATION FORM Date of Volunteer Hours * MM DD YYYY Number of Hours Volunteered * Name * First Name Last Name Email * Phone * (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Basic Description of Activities Where did you volunteer? * Point In Time Count Serenity Homes (Baldwin Park) Esperanza Villa (Baldwin Park) Chula Vista Shelter Florin Road Shelter (Sacramento) East Parkway Shelter (Sacramento) City Net Orange County City Net Riverside County City Net Los Angeles County City Net Sacramento County City Net San Diego County City Net Santa Barbara County Thank you! If you do not receive a copy within 5 business days please email getinvolved@citynet.org and we will email you a digital confirmation.