Client Number:
Name of Organization:
Client Contact Name:
Volunteer Name:
Date Assigned:
Date of first contact with client:
Was client hard to contact?:
Was client prompt for meetings?:
Total hours spent servicing client for this year (Include travel, telephone calls, and research):
Total hours servicing the client at completion:
Date Assignment Completed:
Please describe services performed:
Were there any difficulties in servicing the client? :	Yes No
If yes, please describe:
Was there a reason for discontinuing service to this client, other than completion of the services?:
Other comments regarding the volunteer engagement:
Please email your form to COMMUNITY ACCOUNTANTS by July 31 of each year and also at the completion of your services. Please keep us posted on your progress with your client during the year. Your feedback provides critical information on our program. Thank You For Volunteering For COMMUNITY ACCOUNTANTS!