Student Volunteer Hours

COMMUNITY INVOLVEMENT

•       are of benefit to the community;
•       may support a not-for-profit agency, institution or foundation that conforms to the ethical standards
         of Halton DSB, Halton CDSB, and the Ministry of Education;
•       promote tutoring, mentoring, visiting or coaching;
•       support ethical work of a global nature;
•       promote positive environmental awareness;
•       support clubs, religious organizations, arts or cultural associations, or political organizations that seek
         to make a positive and ethical contribution in the community.


TA Blakelock Secondary School
Record of Community Involvement Hours

PLEASE RETURN COMPLETED FORM TO STUDENT SERVICE

STUDENT NAME: (PLEASE PRINT) _____________________________________________
Activity #___                                   

Community Involvement Activity
        
Complete after finishing Community Involvement activity.
Name of Community Sponsor:
        
Completion Date:
        
Total Hours:
Location/ Address:
        
Student Signature:
Estimated Hours:
        
Parent Signature:
Proposed Activity:

        
Sponsor Signature:

Parent Signature (permission):
(if student under 18)
        
School Official initials confirming hours have been recorded:
        
Date:
Principal Signature:
(if necessary)

OFFICE USE ONLY:   DATA Entry in Trillium Completed  Date________________________________ Initial ___________

                                               
Activity #___

Community Involvement Activity
        
Complete after finishing Community Involvement activity.
Name of Community Sponsor:
        
Completion Date:
        
Total Hours:
Location/ Address:
        
Student Signature:
Estimated Hours:
        
Parent Signature:
Proposed Activity:
        
Sponsor Signature:

Parent Signature (permission):
(if student under 18)
        
School Official initials confirming hours have been recorded:
        
Date:
Principal Signature:
(if necessary)

OFFICE USE ONLY:   DATA Entry in Trillium Completed
Date _______________________________ Initial ___________


For more information please go to the Halton District School Boards website at
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