Campaign Worker Commitment Submission Form

Please complete the following submission form to report the number of hours you dedicated to CFC-related tasks. This information will be used to customize your Memo of Recognition, which will be emailed to you at the end of the campaign.

Select your CFC Zone:

Your Department

Your Agency/Unit/Office Name

Your Name

Please enter your name exactly as you would like it to be listed in the memo.

Your Email Address

We will use this address to send your Memo of Recognition at the end of the CFC.

Provide a brief summary of the tasks completed.