Please Print Clearly Student: Student Number: School: David Suzuki Secondary School Principal: L. Grant Completion of Community Involvement Activities Activity Number Date of Location and telephone name and Supervisor’s of Hours Completion number signature __________________________________ Student Signature __________________________________ Date __________________________________ Parent or guardian signature __________________________________ Date
Please Print Clearly Student: Student Number: School: David Suzuki Secondary School Principal: L. Grant Completion of Community Involvement Activities Activity Number of Hours Date of Completion Location and telephone number Supervisor’s name and signature __________________________________ Student Signature __________________________________ Date __________________________________ Parent or guardian signature __________________________________ Date