[FrontPage Save Results Component] Compeer/Compeer-for-Youth Volunteer's Monthly Report Please either fill out our convenient on-line form or click here for a printable copy.  (Note: copy download requires the Adobe Acrobat Reader. If you do not have it installed you may download it for free here.) * Designates a field that is required for you to fill in  *Volunteer Name: *Month/Year: *Friend's Name: MH Professional Name: # Visits:  Hours spent with your friend: # Phone Calls:  Hours spent on the phone with your friend: #Indirect Hours: (Time spent in Compeer activities, but NOT with friend) Check any listed activities fro this month. Describe any others below:   walk, hike visit museums eat out watch TV   attend sporting event attend concert/play go on picnic go to movies   play sports visit w/others go for a ride/drive play cards, games visit at one's home attend Compeer event Other Activities (please describe): Contact with Parents/ Family (please describe): Good News? Any Concerns? Tell about your friendship: YOUR address/phone has changed Your FRIENDS address/phone has changed New Address: New phone number:  Home: Work: Check to have: Compeer Coordinator contact you Friend's Therapist contact you Best time to call: Home Phone: Work Phone: REPORTS ARE DUE ON THE LAST DAY OF EACH MONTH
	Home | Programs & Services | Human Services Directory  | Donate Now Mental Health Association in Fulton & Montgomery Counties Janine Dykeman, Executive Director 73 North Main Street, Suite 106 Gloversville, NY 12078 Phone: (518) 725-2790 Fax: (518) 775-1076 E-Mail: Contact us © 2006 Mental Health Association in Fulton & Montgomery Counties. All rights reserved. This web site was developed by Empire Web Pages on November 02, 1999. This page was most recently updated on October 13, 2006.