Home › Volunteer Opportunities › Volunteer Log Sheet

Volunteer Log Sheet

Please submit this form after each conversation with client/caller or 3rd unsuccessful attempt to make contact. Click here for PDF version.

    Mentoring Date:

    Your Name (required):

    Phone:

    Your Email (required):

    Client Information:

    Client/Caller's Name:

    Phone:

    Best Time(s) to Call:

    Client Email:

    Prefers to be contacted by:

    Email communication is acceptable, but communicating by telephone is a more effective form of mentoring. If possible, try to set up a phone appointment with the person you are mentoring.

    Name(s) of loved One(s):

    Relationship / Age(s):

    Air Carrier / Flight Number:

    Call / Email Log:

    Date / Time:

    Attempted Contact by:
    PhoneEmail

    Notes:

    Date / Time:

    Attempted Contact by:
    PhoneEmail

    Notes:

    Date/Time:

    Attempted Contact by:
    PhoneEmail

    Notes:

    Summary of Client / Caller's Response

    Thoughts / Feelings:

    What was the focus of the call?

    His/Her available support systems:

    Your Assessment:
    Doing as well as can be expected
    Concerned about his/her mental state (if so, explain below)

    Additional Comments or Concerns:

    Your Next Step:
    Follow up callFollow up email
    To be made on:

    Information / Referral Requested (explain):

    Thank you for being a Volunteer Grief Mentor. You are the heart of ACCESS!

    Enter This Code
    captcha

    You may also fill out this form and mail it in.