Volunteer Hours Form

Please turn keep track of the hours you spend volunteering for The Preemie Project. Your hours will then be turned into to the UIHC Volunteer Services Office per their request.

That includes the following:

Please turn in your hours at the end of each month by filling in the form at the bottom of this page. Be sure to include what chapter your hours go towards: Michigan or Iowa?

Thank you for your attention to this matter.

*Required Field

*First Name:
*Last Name:
Address:
City:
State:
Zip Code:
Country:
Phone Number:
*Email Address:
*Month:
*Total Hours Volunteered:
*Chapter Volunteered For:



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The Preemie Project | 2607 Flagstone Court | Coralville, Iowa 52241

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