Survey - Community Volunteer Report - Guide Dogs for the Blind

Question - Not Required - First Name

Question - Not Required - Last Name

Question - Not Required - Please select the appropriate Volunteer type:

Question - Not Required - Please select your role

Question - Not Required - Number of names collected:

Question - Not Required - Please select the month (when activity occurred):

Question - Not Required - Notes:

Question - Not Required - Please select number of hours:

Question - Not Required - City (where activity occurred):

Question - Not Required - County:

Question - Not Required - State:

Below section is for Speakers Bureau Volunteers (SBVs) only

Question - Not Required - Type of audience:

Question - Not Required - Audience size:

(Maximum response 255 chars, approx. 5 rows of text)

Question - Not Required - Donations received?

Question - Not Required - Donation total amount:

Question - Not Required - Number of names collected:

Question - Not Required - If you are a GDB alumni speaker please write in the name of your chapter

(Maximum response 255 chars, approx. 5 rows of text)

Question - Not Required - Name of PCCVs

Question - Not Required - Notes:

Below section is for Puppy Club Community Volunteers (PCCVs) only

Question - Not Required - Type of task:

Question - Not Required - Audience size (please estimate)

Question - Not Required - If you are a GDB puppy raiser please write in the name of your club:

(Maximum response 255 chars, approx. 5 rows of text)