Your Name (print neatly): ______Grade (circle one): 8 9
Your Social Studies Teacher: ______Period You Have Social Studies: ___
Your English Teacher: ______Period You Have English: ___
Your Science Teacher: ______Period You Have Science: ___
Builders Club
Registration Form
2016-2017
1. Learn about opportunities to volunteer.
2. Complete this form showing the CJH Builders Club volunteer opportunities you are planning to participate in. Remember, sign up only for those you can attend for the full time period.
Which events do you plan to attend?
To earn a BC award, you must attend
a minimum of four of the following service events.
READ CAREFULLY. CHECK ALL THAT APPLY.
____I am in attendance at the BC Sign-Up service event on September 27th.
____ I plan to participate in the Notes to Soldiers Service service event on Oct. 25th after school.
____ I am interested in volunteering for a two-hour shift at the Barnes & Noble Book Fair service event on
Saturday, November 26th.
____ I would like to wear a CJH uniform (sports, clubs, ambassadors) and greet people.
____ I would like to help young children with crafts.
____ I would like to help young children with face painting.
____ I would like to work at the gift wrapping station (donations fund Builders Club activities).
____ I plan to participate in the Blankets with Messages of Hope and Caring service event on
December 6th after school.
____ I plan to participate in the Martin Luther King, Jr. National Day of Service service event on
January 10th after school.
____ I plan to participate in the Read Across America service event on February 28th after school.
____I plan to participate in the EC Officers service event on March 22nd after school.
____ I plan to participate in the UP Community Garden service event on April 19th after school.
____ I plan to participate in the Trip to the Capitol service event on May 9th.
Read and complete the following BC information
by checking those that apply to you:
____ I plan to purchase a BC t-shirt/sweatshirt and I understand the process.
____ I am interested in participating on the BC Executive Committee on Tuesday afternoons.
____ My goal is to receive a BC award (requires attendance at four BC service events)
for _____ hours of service:
5 to 9 Hours: Certificate
10+ Hours: Certificate, BC pin
20+ Hours: Certificate, BC pin, Letter of Commendation
____ I plan to use my BC service hours towards Honor Society and/or Leadership, too. I understand
that I am responsible for submitting my hours to the appropriate advisor for each organization
(you can make a photocopy of your service logs). I also understand that the advisor for each
organization must approve the BC activities as service hours.
____ I am interested in working toward the United Way Varsity Letter of Service; please deliver
information to me (150 hours from April 2016 to April 2017, 9th graders only; 8th graders may
start April 2017)
____ I plan to participate in the following sport(s): ______,
but will be active in BC whenever I can.
____ Check one:
____ I have purchased an ASB card.
____ I plan to purchase an ASB card.
____ I will talk to Mrs. Powell or Mrs. Reed about ASB cards.
____ I plan to pick up my award at our final BC meeting on June 6th after school.
I have a question or a comment:
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