Community Service Form - Burleson High School Page 2

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Community Service Procedure
Student will pick up the form from the House Office or Main Office.
Student completes community service hours and the form with all necessary signatures and
verification.
Student returns the form to the Main Office and puts the form in the RED BOX marked Community
Service.
Approved hours will be stored in database.
The hours are to be completed outside the regular school day. A committee has designed a three-tier level
recognition program that goes beyond the required component. The specifics of this program are outlined
below:
25 hours – Bronze Level
50 hours – Silver Level
75 hours – Gold Level
Award recognition will occur at a special spring ceremony and/or through special recognition at
graduation exercises.
A sample list of approved community service activities and organizations are listed below.
Students may submit an additional request for consideration to the committee through approved
channels.
Credit for accumulation of service hours must be on approved campus forms and include committee
approved authorized signatures. Parents/guardians and/or relatives may not sign documentation for
service credit.
All credit for community service must fall within the prescribed dates as delivered by the committee.
These will vary from year to year due to calendar adoption, graduation dates, and or other critical
dates.
The committee and/or its representatives will periodically verify student data submitted.
All decisions made by the committee may be appealed to the principal or the committee
representative.
Samples of Approved Community Service
Adopt a Highway – trash removal
Meals on Wheels – delivering meals
Adventure Alley – construction
Nursing Home Volunteer
Animal Shelters
Odd jobs for the elderly – delivering groceries, mowing, etc.
Campus cleanup
Parks and Recreation – Cleanup
Christmas toy drives
Political Campaigns
Clothing and can food drives
Project Celebration planning and cleanup
Coaching organized youth teams
Public Television
Crisis Pregnancy Center
Reading to the young
Habitat for Humanity
Schools – Special Olympics
Harvest House
Service Organization – Lions Club, Rotary, JCA etc.
Health Organization – Red Cross etc.
Tobacco & Drug Awareness Programs
Hospital Volunteer
Tutoring

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