Chapter Name __________________________

Backcountry Horsemen

Project Location & Description

Project Leader __________________________

Of Washington

Agency Contact Person___________________

Volunteer Hours Report

Year ____________

Revised January 2005

Project Information

Work Hours

Community Service

Miles

Equipment

Stock Use

Donation

Volunteer Name   or

Activity

Agency

District

Basic

Skilled

Educ.

Public

Admin

Travel

Vehicle

Stock

Power

Heavy

Hourly

Stock

Stock

Stock

Dollar

Individual Project Location

Date

Code

Work

Work

LNT

Meeting

Service

Time

Miles

Hauling

Equip

Equip

Rate

Used

Hours

Days

Amount

A.   USFS

D.    National Parks

G.    Other

N.    US Fish & Wildlife

Other Information:

B.    State DNR

E.    Education

L.   LNT

O.   US COE

T.   Timber, Private

C.    State Parks & Hwys

F.    Dept. Fish & Wildlife

M.    BLM

R.   Rendezvous

W.   County