Spreadsheet: 378fcbb1-1cc5-48e4-80e3-e7af4b4646bd
Sheet: Sheet1

Unnamed: 0 | California Department of Fish and Wildlife | Unnamed: 2 | Unnamed: 3 | Unnamed: 4 | Unnamed: 5 | Unnamed: 6 | Unnamed: 7 | Unnamed: 8 | Unnamed: 9 | Unnamed: 10 | Unnamed: 11 | Unnamed: 12 | Unnamed: 13 | Unnamed: 14 | Unnamed: 15
 | Classroom Aquarium Education Program
 | Partner and [NAME]
 | Event Name/Location:
 | Printed Name of Volunteer & Volunteer's Signature |  |  | [NAME]: Thoroughly describe the volunteers' work. |  |  |  |  |  | Date | Time In | Time Out | Total Hours | CDFW Classification  Completed by CDFW volunteer coordinator
 | Print Name:
 | Signature:
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 | Equipment Purchased/In-kind Donations – dollars you or your organization spent on donations, please list only those that apply to program.
 |  | Fishing equipment |  |  |  | Bus transportation |  |  |  | Other
 |  | Aquarium equipment |  |  |  | Education materials
 | Total Equipment Cost: _______________________ please attach copy of receipt(s) or letter from donor
 |  |  |  |  |  |  |  |  |  |  |  |  | Total Hours on this Sheet  Completed by CDFW
 |  |  |  |  |  |  |  |  |  |  |  |  |  | [NAME]:
 | Certification by [NAME]: I verify that all information reported is accurate to the best of my knowledge |  |  |  |  |  |  |  |  |  |  |  |  | F&W Tech:
 |  |  |  |  |  |  |  |  |  |  |  |  |  | Interp: | _______
 | Print name and title |  |  |  |  |  | Signature |  |  |  |  |  |  | Total:
Return Forms To:
 |  |  |  |  | Activities in these counties: |  |  | Mail to CDFW Regional Office:
 |  |  |  |  | [NAME], Humboldt, Lassen, Mendocino, Modoc, Shasta, Siskiyou, [NAME] and Trinity counties |  |  | CDFW, Northern Region, Attn: CAEP             1455 Sandy Prairie Ct., [NAME] J                     Fortuna, CA 95540
 |  |  |  |  | Alpine, Amador, Butte, Calaveras, Colusa, El Dorado, Glenn, Lake, Nevada, Placer, Plumas, Sacramento, San Joaquin, Sierra, Sutter, [NAME] and Yuba counties |  |  | CDFW, North Central Region          Attn: CAEP                                     1701 Nimbus Road                                  Rancho Cordova, CA 95670
 |  |  |  |  | Alameda, Contra Costa, Marin, Napa, Sacramento, San Mateo, Santa Clara, Santa Cruz, San Francisco, San Joaquin, [NAME], Sonoma, and Yolo counties |  |  | CDFW, Bay Delta Region                     Attn: CAEP                                        7329 Silverado Trail                                 Napa, CA 94588
 |  |  |  |  | Fresno, Kern, Kings, Madera, Mariposa, Merced, [NAME], San Benito, San Luis Obispo, Stanislaus, Tulare and Tuolumne counties |  |  | For Trout:  CDFW, Attn: SIC                         1234 E. Shaw Ave.                                Fresno, CA 93710
 |  |  |  |  |  |  |  | For Salmon:  CDFW, Attn: SIC                  PO Box 10                                                La Grange, CA 95329
 |  |  |  |  | Los Angeles, Orange, San Diego, Santa Barbara and Ventura counties |  |  | CDFW, S Coast Region, Attn: CAEP                4665 Lampson Ave., [NAME], CA 90720
 |  |  |  |  | Imperial, Inyo, Mono, Riverside and San Bernardino counties |  |  | CDFW, Inland Deserts, Attn: CAEP      3602 Inland [NAME]., Suite C-220         Ontario, CA 91764
 | Thank you for volunteering for the California Department of Fish and Wildlife!!
 | We track your volunteer hours and information to provide in-kind match for our federal grant funds.  Your efforts help our programs continue!
 | ><((((°>    Thank you for providing this information, it will be kept confidential.    ><((((°>
 | www.dfg.ca.gov/caep   OR   www.classroomaquarium.org
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Rev. 1/13