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["「よこはまシニアボランティアポイント」活動記録簿"]
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[]
["【記載例 １ 】受入施設の場合"]
["「よこはまシニアボランティアポイント」活動記録簿"]
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["名称",null,null,null,"○○ホーム",{"$nulls":17},"種別",null,null,"受入施設　　・　　受入団体"]
["施設・団体番号",{"$nulls":4},999,null,null,null,"ポイント\n付与方法",null,null,null,"施設に設置している端末　　・　　引換券　　・　　地域ケアプラザで付与"]
["※「種別」及び「ポイント付与方法」は該当するものに○をしてください。"]
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["2021-12-30",{"$nulls":4},"横浜　太郎",{"$nulls":7},"10：00～11：30",{"$nulls":7},"③、⑨"]
[]
[]
["※　「活動内容」の欄については、下に示した活動内容の番号を記載してください。（複数可）"]
[]
["①",null,null,"レクリエーションなどの指導、補助",{"$nulls":13},"⑧",null,null,"洗濯物の整理等"]
["②",null,null,"入所者、利用者の話し相手",{"$nulls":13},"⑨",null,null,"清掃"]
["③",null,null,"施設の行事の手伝い",{"$nulls":13},"⑩",null,null,"送迎の補助等"]
["④",null,null,"散歩の補助等",{"$nulls":13},"⑪",null,null,"配食・会食サービス"]
["⑤",null,null,"食事介助の補助等",{"$nulls":13},"⑫",null,null,"元気づくりステーション"]
["⑥",null,null,"整髪、からだ拭きの補助等",{"$nulls":13},"⑬",null,null,"サービスB"]
["⑦",null,null,"配膳の補助等",{"$nulls":13},"⑭",null,null,"その他（　　　　　　　　　　　　　　　　　　　　　　　）"]
["（202112）"]
[]
["【記載例 ２ 】受入団体の場合"]
["「よこはまシニアボランティアポイント」活動記録簿"]
[]
["名称",null,null,null,"□△◇クラブ",{"$nulls":17},"種別",null,null,"受入施設　　・　　受入団体"]
["施設・団体番号",{"$nulls":4},888,null,null,null,"ポイント\n付与方法",null,null,null,"施設に設置している端末　　・　　引換券　　・　　地域ケアプラザで付与"]
["※「種別」及び「ポイント付与方法」は該当するものに○をしてください。"]
[]
["活動年月日",{"$nulls":4},"ボランティア氏名",{"$nulls":7},"活動時間帯",{"$nulls":7},"活動内容",{"$nulls":6},"備考（引換券番号）"]
["2022-01-01",{"$nulls":4},"横浜　花子",{"$nulls":7},"13：00～14：00",{"$nulls":7},"⑪",{"$nulls":6},"G-99999"]
[]
[]
["※　「活動内容」の欄については、下に示した活動内容の番号を記載してください。（複数可）"]
[]
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["②",null,null,"入所者、利用者の話し相手",{"$nulls":13},"⑨",null,null,"清掃"]
["③",null,null,"施設の行事の手伝い",{"$nulls":13},"⑩",null,null,"送迎の補助等"]
["④",null,null,"散歩の補助等",{"$nulls":13},"⑪",null,null,"配食・会食サービス"]
["⑤",null,null,"食事介助の補助等",{"$nulls":13},"⑫",null,null,"元気づくりステーション"]
["⑥",null,null,"整髪、からだ拭きの補助等",{"$nulls":13},"⑬",null,null,"サービスB"]
["⑦",null,null,"配膳の補助等",{"$nulls":13},"⑭",null,null,"その他（　　　　　　　　　　　　　　　　　　　　　　　）"]
["（202112）"]