Email Address

Date of Volunteer Activity

Event or Activity Name (eg. Harvest Celebration, Cedar
River restoration planting, etc.)

Your role in this event (e.g. group leader, greeter,
teacher, etc.)

Location (e.g. city name, watershed name, zip code,
etc.)

Audience (e.g. adults, high school students, girl scout
troop, families, etc.)

Partnering Organization
Friends of the Cedar River Watershed
Cascade Land Conservancy – Land Stewards Program
Parks and Trails Ambassador Program
None
Other

Number of volunteer hours you are reporting

Total number of people contacted

Number of people in each group below:
*Female
*Youth

*White
*Black
*Native American
*Hispanic
*Asian or Pacific Islander
* Estimate numbers as best you can. We are required to report this
information.

Please describe the impacts of your stewardship
activities (What was accomplished? What was changed?
How did participants benefit? So what?) and any other
information you would like to include in narrative format: