IEH-E1 - Credit for Community - A Student Initiated Project (SIP) Approval Form

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SECTION I: INSTRUCTIONAL PROGRAM

File IEH-E1

CREDIT FOR COMMUNITY (A Student Initiated Project (SIP) Approval Form

I/We have discussed the Community Service Student-Initiated Program (SIP) Credit Option with my (our) son/daughter/ward and support my/our son’s/daughter’s/ward’s participation in this Credit Option in the following community service activity: _______________________________

I/We are aware:

	that participation by a student in a community service activity may, but will not necessarily, be recognized by the school for a senior years credit and that whether a credit will be recognized and the level of credit that will be recognized will be based on the civic skills, knowledge and attitudes that are obtained by the student in the activity, which will be evaluated by the school prior to the student’s participation and confirmed by the school following completion of the activity;
	that a maximum of one credit can be earned as a Community Service SIP Credit which can be used towards the 30 credits required for graduation;
	that participation by a student in a community service activity prior to his or her obtaining permission from the school to proceed with the activity cannot be applied towards a Community Service SIP Credit;
	that a community service activity will not be recognized for a Community Service SIP credit where the activity involves assisting immediate family members;
	that in order for a community service activity to be recognized for a Community Service SIP credit, no remuneration or honorarium can be accepted by the student;
	that court imposed community service cannot be used for the Community Service SIP credit;
	that participation by a student in a community service activity for a Community Service SIP credit is a private activity outside the regular school program.
	That a student who participates in a Community Service activity for a Community Service SIP credit option is not enrolled in a course nor is he or she performing work that is part of a course that is approved by Manitoba Education and is not engaging in a work education program or participating in a program conducted off the school premises under the authority of a school board;
	that in evaluating the community service activity prior to the commencement of the activity by the student, the school will evaluate only the civic skills and knowledge to be obtained by the student in the activity and will not evaluate the hazards that may be associated with the community services activity;
	that neither the school, the School Division nor Manitoba Education will be liable for any injury to the student or for any damage to or loss of property of the student caused by or in any way related to the student’s participation in a community service activity;

that a student and his or her parents/guardians bear the responsibility for the student’s safety. A student should discuss concerns about the nature of the community service activity with his or her parents/guardians and together, they should exercise discretion, be aware of safety issues and investigate the community together, they should exercise discretion, be aware of safety issues and investigate the community organization’s or group’s liability insurance coverage for volunteers before deciding that the student will participate in the community service activity;

that a student may withdraw from the community service activity at any time for any reason, including for the reason that the community service activity workplace conditions are not acceptable to the student or his or her parents/guardians.

I/We have read and understand the above information.

______________________________________ ___________________________

Signature of Parent(s)/Guardian(s) Date

______________________________________ ___________________________

Signature of Student Date

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