The Study

Monthly Board In-Kind Contribution Report

Report volunteer service for one month. Approved board-service rate: /hour — staff calculate the dollar value from your hours. Enter each activity once. Travel time means hours only; exclude mileage and reimbursed expenses.
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1

Who you are

North Dakota Humanities Council, Inc. (The Study)
Monthly Board In-Kind Contribution Report
Board member · Month
Approved board-service rate: /hour. Hours only for travel time; reimbursed expenses excluded.
2

What you did

What counts — examples
  • Board/committee meeting — board meetings, committee meetings, officer duties, and meeting prep time.
  • Program participation — helping run, host, or staff a Study program or event.
  • Program evaluation — reviewing proposals or applications, judging, or evaluating a program.
  • Professional service — donating your professional skills (legal, accounting, design, IT, marketing…).
  • Travel time — hours spent traveling for Study business. Time only — no mileage or expenses.
  • Other — any other donated service; describe it in the activity box.

Not sure where something fits? Enter it anyway with a note — staff will sort the category.

Value auto-calculated at / hour
Date Activity, meeting, or program Service type Hours Value
Totals Total hours0 Total value$0.00
3

Notes (optional)

This step is optional — add anything that helps staff record this, or skip it entirely.

4

Certify and sign

I certify that the services above were donated without compensation, were necessary to The Study’s work, and were not claimed for another federal award. I did not count the same time more than once, and I excluded reimbursed expenses.
For office use — MIP entry (staff)
⚠ Printed with incomplete or uncertified entries — resolve with the board member before keying.
Fund Account Program Description Debit Credit
Default board-service coding. Professional-service items may post to a different expense account (e.g., 532 Acct. & Audit) — staff confirm at entry. Fund code follows the current NEH award cycle.

Export your PDF

To submit: click Export PDF. On a computer, choose “Save as PDF” as the printer/destination. For the best result, switch on “Background graphics” in the print dialog, which some browsers leave off, so the shaded headers and totals print as designed. On an iPhone or iPad, in the print preview tap the Share button, then “Save to Files” or “Mail”. Then attach the saved PDF to your reply to the monthly in-kind email.

Done? Two steps: click Export PDF above and save the PDF (computer: choose “Save as PDF” as the printer/destination · iPhone/iPad: in the print preview tap the Share button, then “Save to Files” or “Mail”). Then email the saved PDF to Nick Glass at nick.glass@humanitiesnd.org — or simply attach it to your reply to the monthly in-kind email.
North Dakota Humanities Council, Inc. (The Study) · Monthly board in-kind contribution report · Approved rate /hour