New Jersey Employer Support for the Guard and Reserve

Volunteer Activity Form

Log your completed Volunteer Activity in the below form.
Please be as detailed as possible. The information you share will be transferred into the ESGR records for accountability purposes and reporting metrics! Thank you.

Your Contact Information:

Volunteer Name:	* required
Other NJ ESGR Attending :
Your Email:	* required
Volunteer Hours Spent: (include travel time)	* required
Miles Traveled:
Your Activity:
Activity Type:
RC :
Event / Briefing
Date: (mm/dd/yyyy)
# Attending:
Employer / Unit:
Contact Person:
Contact Email :
Street Address City, ST Zip
Contact Phone:
Summarize Discussion or Brief Given
Additional Information:
Future Action Needed
	Follow-Up Needed Will result in Statement of Support