Arkansas Extension Homemakers Council

University of Arkansas, Division of Agriculture

2301 S. University Ave.

Little Rock, AR 72204

GUIDELINES AND RECORD OF VOLUNTEER HOURS

For donations to Arkansas Childrens Hospital and University of Arkansas for Medical Science:

Arkansas Childrens Hospital UAMS, babies UAMS, adults Other (Missionaries to Africa)

EHC Club
Donor County:
Donor Address:
City:	State:	AR	Zip:
Optional In Memory In Honor of:
(Please check one)
Family Address:
City / State:	Zip:
Description of Donation:

Needlework Items (approximate number of each item):

Blankets/Quilts	Mittens	Teaching Dolls/Animals (18” bears)
Hats/Caps	Tote Bags	Pillows
Booties	Sweaters	Yarn Balls
Miscellaneous

Approximate Value of Donation $
Approximate Number of Hours Spent Planning/Organizing Donation:

*We want to recognize the number of hours your group spent planning, organizing, or preparing this donation.

All donations to the Arkansas Children’s Hospital and University of Arkansas for Medical Science must meet the following guidelines. Items not meeting these criteria cannot be accepted.

Due to infection control guidelines, all items accepted must be new. They are unable to accept used items of any kind.

All handmade items and toys must be free from pet hair, strong perfumes, cigarette smoke or any other odors that might violate infection control policies.

Due to safety regulations, they are unable to accept any items that are gift wrapped.

Because many of the patients have special diet requirements, it is not possible to donate food for the patients. However, each hospital’s Volunteer Services will accept donations of food for family waiting rooms.

I understand the importance of providing quality healthcare and verify that my donation meets all criteria for being accepted. I understand the items I am donating will be inspected prior to being distributed to patients and know that all items not meeting these criteria will be redirected to another worthy charity or discarded. I also understand that once items are donated, they become the property of the hospitals and cannot be returned to the donor.

Signature of Donor Representative	Date

FCS-754

University of Arkansas, United States Department of Agriculture, and County Governments Cooperating
The Arkansas Cooperative Extension Service offers its programs to all eligible persons regardless of race, color, sex, gender identity, sexual orientation, national origin, religion, age, disability, marital or veteran status, genetic information, or any other legally protected status, and is an Affirmative Action/Equal Opportunity Employer.