Community Participation
Community Participation Objective: Provide service to the community and school through volunteering time for beneficial activities and projects.
Description:
One of the requirements for graduation from
It is suggested that students plan ahead and
try to obtain four (4) hours each year, rather than wait to complete this
requirement during their senior year.
All students are encouraged to exceed these minimum requirements, and
hours completed beyond the requirement will be recorded if turned in.
Forms must be used to document each
“service” occurrence. These forms are
available at the office of the Dean of Students, high school office, and on the
school’s website. These forms will be the
only documentation of “service” that will be accepted. All forms must be submitted prior to May 15th
of the school year in which the “service” was provided; prior year’s activities
will not be accepted. It is each student’s responsibility to turn in the form
to the Dean of Students. Hours will be documented and then placed in a
cumulative file of Community Participation forms.
The following are the suggested areas
of “community participation”. Any
student who would like consideration for another area to be considered should
make a formal written request to the High School Principal prior to experience.
1. School Activity (Only one will count towards
required hours)
2. City, County and State Government Service
3. Church Related
4.
Hospital, Nursing Home, and Assisted
Living Service
5. Other School Service (Different impact than
school activity)
6. Organization Service [YBA, Wrestling Club,
Lion’s Club, American Legion, etc.]
7.
Other,
need high school principal verification.
Community Participation Graduation Requirement
Student
Name___________________________________________________Graduation Year __________
(Please Print)
Group/Individual the Experience
was completed for _____________________________________________
Description of Experience
_________________________________________________________________
Date of Service
__________________________ Number of hours ___________
Print Name of Contact Person for
experience __________________________________________________
Contact Phone Number
____________________
By signing this form, you are
verifying that the above information is true and correct. All signatures
required.
Contact Signature _______________________________________________________________________
Student Signature _______________________________________________________________________
Parent Signature ________________________________________________________________________
Dean of Students _______________________________________________________________________
All forms must be submitted prior to May 15th of the school year in which the service was provided. Return completed forms to the office of the Dean of Students.