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Merced High School

Bear Path
COMMUNITY SERVICE HOURS ** PURPLE CORD

Name ________________________________ ID#___________ Birth Date__________________

Circle the Year You Graduate: 2014 2015 2016 2017

**PLEASE READ THE RULES FOR RECEIVING CREDIT FOR HOURS (LISTED ON THE BACK)**
Maintaining this and subsequent service record forms is YOUR responsibility. Keep this form until May of your SENIOR
YEAR.
*PLEASE SEE MS. TIPPETT TO VALIDATE ELIGIBILITY PRIOR TO BEGINNING ANY COMMUNITY SERVICE*
SENIORS YOUR HOURS ARE DUE BY MAY 1, 2014

Date
Name of NON-PROFIT
organization I worked
for including phone
#

Description of Duties

Supervisors
Signature
Are you a
non-profit
organization

Hours
(See back
for
instructions)

Yes No


Yes No


Yes No


Yes No


Yes No


Yes No


Yes No

MERCED HIGH EXTRA MILE (Purple Cord)
COMMUNITY SERVICE GUIDELINES
1. SEE MS. TIPPETT TO VALIDATE YOUR HOURS prior to beginning any community service.
2. All students are eligible to participate in the program.
3. Students may provide volunteer service to the school and/or non-profit organizations in the community. Volunteering only counts for NON-
PROFIT organizations. For example, working in a restaurant, store, hair salon, etc. will NOT count towards community service. If people
can profit off the organization, it doesnt count!! NON-PROFIT, NON-PROFIT, NON-PROFIT!!
4. Students must perform volunteer service on their own time. Service performed while classes are in session, with the exception of service
performed by participants during their lunch period may not be counted for awards.
5. Students may not receive academic credit or be paid for service rendered.
6. Service rendered as a prerequisite for employment will not be counted for awards.
7. Attendance at self-improvement workshops or conferences will not count.
8. All service must comply with school board policies.
9. Participation in performances, festivals or competitions does not count as volunteer service unless:
a. the performance meets an identified community service need and
b. there is no admission charge or donation accepted for the performance and
c. student participation is of a voluntary nature and
d. the performance does not promote the sponsoring organization and
e. neither the student organization nor the sponsoring organization receives any form of payment for the performance.
10. Rehearsal and practice time may never be counted for volunteer service hours.
11. Fundraising, except for specifically approved non-profit charities, cannot be counted.
12. Service performed for the students own family or for profit-making organizations except for hospitals and veterinary clinics may
not be counted for awards. NON-PROFIT, NON-PROFIT, NON-PROFIT!!
13. Service performed as a result of disciplinary action cannot be counted.
14. Participation in varsity or junior varsity athletics does not constitute volunteer service in this program.
15. Attending meetings as part of a membership requirement cannot be counted.
16. Students may earn hours toward individual recognition while working on projects that will earn recognition for their club or organization as
long as those hours also fit the Student Volunteer Guidelines for individual students.
17. Volunteer work done to promote a particular religious point of view cannot be counted as volunteer hours in
the program.
18. Participation in Camp Green Meadows will earn 70 hours.
19. Activities occurring on weekends or school vacations will count for a maximum of 8 hours per day.

PLEASE ROUND TO THE NEAREST QUARTER HOUR:
Example:
11 minutes = .25
1 hour 40 minutes = 1.75
6 hours 5 minutes = 6.00
5 hours 53 minutes = 6.00