Parent/guardian signature (if student is under 18 years old) ____________________
Please provide a letter of completion, certificate of completion, or the
supervisor’s card for each activity completed. Hand in this form upon completion of all 40 hours. Any hours above and beyond 40 should be recorded by the student for future reference.
Activity Number of Description of Activity Supervisor Supervisor’s
Location Hours Name and Signature Contact Information
For Office Use Only
Date Processed: ________________________
Signature: _____________________________
Is the student in graduating year: Yes □ No □
***See back for ineligible activities*** Students may start collecting their Community Involvement Hours the summer after they complete grade 8. t:\staff share\guidance\40 hrs\turner fenton community involvement hours tracking form 2020.docx