Student’s Name Principal’s Name
Ms. Kristen Fregeau
School Address and Telephone Number
Beaver Brae Secondary 1400 Ninth Street N. Kenora, ON (807) 468-6401
Please submit this form to the school when you have completed 40 hours of community involvement activities, when the principal requests it or when this sheet is full.
Activity | Number of Hours | Date | Location and telephone number | Supervisor’s name and signature |
Total
Student’s Signature Date
Parent’s Signature Date