ICF Maryland Chapter - Volunteer / Outreach Tracking Form

* Email Address Please type your email address associated with your Global ICF account.

ICF-MD Member Number

First Name Please enter your first name here if not pre-populated above.

Last Name Please enter your last name here if not pre-populated above.

* Date of Activity Please enter the date of your volunteer activity in MM/DD/YY format.

ICF/Non-ICF? Please indicate whether this activity was affiliated with a Global or local ICF effort OR whether your volunteer services were unrelated to ICF.

Coaching/Non-Coaching? Please select whether you were providing coaching or non-coaching services.

* Activity Categories Please select the option that best describes your volunteer activity.

ICF-MD Outreach / Turnaround Tuesday
Leadership Essentials Program
ICF-MD Board (meetings, administration, liaison work, etc.)
ICF-MD Committee Work (Membership, Outreach, Professional Development, Finance, Communications)
ICF Speaking (Local or Global)
Personal Cause
Other (Please list the nature of your work in the “Description” field below)

Committee If you selected ICF-Committee Work for the Activity Category question above, please select the Committee to which you volunteered time.

Activity Description* Please briefly describe the nature of your volunteer services on this day.

* Hours (XX.XX) Please enter the total number of volunteer hours you provided on this day. Please round to the nearest .25 (hours) – eg., 1.0, 2.25, 3.50, 4.75, etc.

Impact If appropriate, please briefly describe the impact your volunteer coaching/efforts had on your client(s) and/or stakeholder(s) – i.e., what results were attained, difference made, etc., as a result of your work?

Comments Please add anything else that might be pertinent for our records. Thank you!

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Volunteer / Outreach Tracking Form