 |
U.S. Department of JusticeVolunteer and Community Service Activities |
Component Summary Form
Employee Volunteerism Survey
Name:
Agency:
Telephone #: Fax:
Total Reported for Volunteer/Community Service:
| Total # of Programs, Groups, or Activities (Number of Employees) | Type/Category of Service | Total Est. Hours Per Month |
| ( ) | Human Needs | |
| ( ) | Public Safety | |
| ( ) | Pro Bono Legal | |
| ( ) | Environment | |
| ( ) | Education | |
| ( ) | Faith-Based Organizations |
Total number of respondents who provide services as a part of a community service program (i.e., DOJ Partners in Education Programs, Blood Drives, etc.) sponsored by the component/agency: _________________________
Return to: Vince Micone, JMD/PS/EMCS, National Place Building, Suite 1110, or fax to 202-514-6669 no later than June 7, 2002.
Last Updated May 17, 2002