Notification and Completion of Community Involvement Activities

Student Name Student Number

Student Telephone Email Address Grade Age

For all community involvement activities, please provide all of the required information indicated below.
Submit this form to the school Guidance Office when you have completed community involvement activities.
PLEASE MAKE SURE THAT YOU HAVE RECEIVED PRE-APPROVAL. IF THIS IS AN ACTIVITY YOU HAVE NOT RECEIVED APPROVAL FOR THIS IN THE PAST.

ACTIVITY PRE APPROVAL COMPLETED DATE OF ORGANIZATION SUPERVISOR’S SUPERVISOR SIGNATURE

(describe your specific COUNSELLOR/ NUMBER OF COMPLETION CONTACT
duties) SIGNATURE & HOURS INFORMATION
DATE

TOTAL
HOURS Secondary School

Principal Name
Student Signature Date

Parent/Guardian Signature Date

This information is collected and used pursuant to the Education Act. The information will be used to document the Community Involvement Diploma Requirement.
 Eligible activities include: Ineligible activity include:
Elementary Schools - assist with school events, school councils, activities for
children; • is a requirement of a class or course in which the student is enrolled (i.e.,
cooperative education portion of a course, job shadowing, work experience);
Secondary Schools - organization and leadership of school activities or clubs
that benefit the school and/or community; • takes place during the time allotted for the instructional program on a school
day. However, an activity that takes place during the student’s lunch breaks
Animal Care - volunteering in a zoo, animal shelter, or on a farm;
or “spare” periods is permissible;
Community Spaces and Events - volunteering in galleries, libraries, arts & • takes place in a logging or mining environment, if the student is under sixteen
cultural events, community productions or opportunities (outside of credit
courses) for time spent learning about traditional cultures such as language, years of age;
cooking, knowledge, skills, and stories; • takes place in a factory, if the student is under fifteen years of age;
Charitable Organizations - assisting with special events, programs, • takes place in a workplace other than a factory, if the student is under
clerical tasks; fourteen years of age and is not accompanied by an adult;
Children/Youth Programs - assisting with children/youth programs, • would normally be performed for wages by a person in the workplace;
volunteering in a child care centre or camp; • involves the operation of a vehicle, power tools, or scaffolding;
Community Organizations - assisting with special events, food banks, • involves the administration of any type or form of medication or medical
community support services, shelters, clerical tasks; procedure to other persons;
Community Service for Individuals - assisting community members in need; • involves handling of substances classed as “designated substances” under
the Occupational Health and Safety Act;
Environment, Conservation and Sustainability Projects or Initiatives- planting
flowers/trees, recycling projects, recycling depot; • requires the knowledge of a tradespersons whose trade is regulated by the
provincial government;
Health Agencies - volunteering in hospitals, hospices, Canadian Blood
Services (volunteering to organize or assist with a blood donor clinic), • involves banking or the handling of securities, or the handling of jewelry,
donating blood (time required to donate); works of art, antiques, or other valuables;
Public Service Agencies - volunteering for activities sponsored by the police • consists of duties performed in the home (i.e., daily chores) or personal
or fire department; recreational activities;
Political Organizations - municipal, provincial, and federal recognized political • involves activities for a court-ordered program (i.e., community-service
organizations that reflect the values and priorities of the YRDSB; except for York program for young offenders, probationary program);
Region District School Board trustees or trustee candidates;
• involves participation in extra curricular activities for which a student stands
Religious Organizations - assisting with programs, special events; for school-wide election; and
Senior Citizens - assisting in seniors’ residences, providing services for seniors • any work for a School Board Trustee or Candidate
in the community;

Sports and Recreation - coaching, managing, organizing special events,

assisting with projects/events

Service Focused Community Club Activities - those activities that expand

community service to others beyond the school day (holiday dinner
participation, environmental action activities, etc.)

Virtual Opportunities - organizations must be based in Ontario and run by an

adult/adults for charitable purposes.

Liability Insurance
The school board’s liability insurance carried with Ontario School Board’s Insurance Exchange (OSBIE) will provide coverage for the students and the community sponsors from any lawsuits that may arise from
the students’ activities in the community involvement program during the 40 hours of volunteer work required for those activities that are eligible. The board’s insurance policy will only cover hours that have been
pre-approved. This includes any hours beyond the mandatory graduation requirements.

For more information: https://www2.yrdsb.ca/schools-programs/secondary-school/experience-secondary-school/graduation-requirements/community 001464