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Notification and Completion of Community …

ACTIVITYESTIMATED NUMBER OF HOURSESTIMATED DATE OF Completion SCHOOL APPROVALCOMPLETEDNUMBER OF HOURSDATE OFCOMPLETIONTELEPHONE NUMBER, ORGANIZATION & SUPERVISOR NAME (PLEASE PRINT)SUPERVISOR SIGNATURE &COMMENTST otal This information is collected and used pursuant to the Education Act. The information will be used to document the Community involvement Diploma Requirement. White (Original) - OSR retain 5 years post retirement Yellow - Student Copy Pink - ( Notification ) - Guidance (OSRs are retained in guidance.) Student SignatureDateParent/Guardian SignatureDatePlease provide the information requested below about the Community involvement activities in which you plan to this form to the school Guidance Office when you have completed 40 hours of Community involvement activities.

What types of activities are ineligible? What types of activities are eligible? Eligible Activities are volunteer activities that may be counted towards 40 community involvement

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  Community, Completion, Involvement, Community involvement

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