Home » Family and Elders Program Hour Log Name* First Last Additional Family Member/s (If Applicable)Names of all family members who volunteered. Please separate each name with a comma. Number of Adult Volunteers* Number of Youth Volunteers* What is the name of the elder care community you visit?*Balfour StapletonBethany Nursing and RehabBrookdale Highlands Ranch- Clare BridgeBrookdale Highlands Ranch- CrossingsBrookside InnCedars Health Care CenterChelsea PlaceCherrelyn Manor Health CareForest Street Compassionate CareGardens at St. ElizabethGreenridge Place WestminsterJuniper Village AuroraJuniper Village LouisvilleLakewood VillaMesa Vista BoulderMorningStar of LittletonOrchard Park Health Care CenterPearl Street Health and Rehab CenterRENEWRosemark at Mayfair ParkTenderCare at Harvey ParkTenderCare at PinehurstWhat dates are you recording volunteer time for?*Put specific dates separated by commas or if you have kept to a consistent schedule you can put the date range and frequency here (example: every other Wednesday 1/1/2011-8/1/2011). Number of visits*Estimate the number of times you have visited since you last recorded your hours. Average time spent at each visit*.5 Hour1 Hour1.5 Hours2 Hours2.5 Hours3 Hours3.5 Hours4 HoursPlease list the name/s of the grandpartner/s you visited with.*Include all elders you interacted with. Put elder's first name and the last name if known.
