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The Coey Communicator

Confirmation Sheet for Community Service
HOME

 

École secondaire

REYNOLDS

Secondary School

 

 

 

3963 BORDEN STREET, VICTORIA, BC  V8P 3H9

Telephone:  (250) 479-1696     FAX:  (250) 479-6677

www.members.home.net/reynoldsschool

email:  reynoldsschool@home.com

 

 

 

 

 

 

 

 Confirmation of Community Service

(can be an official volunteer position or arranged privately)

 

 

I would like to confirm that ___________________________ has completed  _____ hours of

Service in the community.

                                               

 

Organization / Business name: ___________________________________________

The specific job or duty performed in/for the community was: ________________________

____________________________________________________________________

____________________________________________________________________

The activity was completed on, or between the following dates: ____________-___________

Name of Supervising adult: ____________________________

Contact Phone number of supervisor: ____________________

Performance comments (optional): ______________________________________________

____________________________________________________________________

____________________________________________________________________

 

 

Signature: _______________________________            Date: ________________________