Record of Community Involvement Hours
Please review the Ministry of Education guidelines on the reverse for eligible
and ineligible activities before doing your community involvement hours.
Name: ______________________________
Please Print
Activity:
Community Organization Name and Address:
Hours Completed:
Sponsor Name (printed):
Student Signature:
Sponsor Signature:
Parent Signature:
School Official Signature:
(If student is under 18)
(For school office use only)
Name: ______________________________
Please Print
Activity:
Community Organization Name and Address:
Hours Completed:
Sponsor Name (printed):
Student Signature:
Sponsor Signature:
Parent Signature:
School Official Signature:
(If student is under 18)
(For school office use only)