COLONEL BY SECONDARY SCHOOL

2381 Ogilvie Road
Gloucester, Ontario
K1J 7N4
Telephone: 745-9411 Fax: 745-4680

Project Leader Form
Dear (supervisor)_____________________________,
I, _______________________________ ask for your assistance in completing the registration process of
my IB CAS hours. I have completed a total of ____ hours at this time, and ask you to confirm the
validity of my services by completing the form below. Thank you for your time,
___________________________________ (Signature)
___________________________________ (Name)

Punctuality

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Effort and
Commitment

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Further comment
or statement of
encouragement

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This activity was
(check one, please)

Satisfactorily Completed
Unsatisfactorily Completed

Leader Name:
Contact Telephone:

_______________________________
_______________________________

( )
( )

I, ___________________________ confirm that __________________________ has completed
his/her CAS hours by working under my supervision.
Signature: _______________________________________

Date: __________________________

FOR OFFICE USE ONLY
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