Green Land International School
Ecole Internationale du Pré Vert
مدرســة الرض المخضـرة الدولية CAS ACTIVITIES STUDENT’S SELF EVALUATION FORM Student’s Name: ………………….. Activity Title: ………………..……. Date:……………………….……..… Location:…………………….…..…
Grade:…………… SY: / Creativity, Action, and or service / Activity Code Duration:…….. hr/s Supervisor’s Name: ……………………….
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Short description of your activity: ………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………
Why did you choose this activity? Did you find the experience worthwhile? Has it taught you something? ………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………………………..…
What/who helped you most in reflecting on what you were doing? How? ………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………… IN PARTICULAR, HAS YOUR ACTIVITY HELPED THE FOLLOWING: (Circle the answer you choose)
Sense of responsibility Compassion Awareness of different cultures Sense of service to the others and to the needs of the community Initiative Leadership Willingness to accept advice Competitiveness Teamwork
No No No No No No No No No
A bit A bit A bit A bit A bit A bit A bit A bit A bit
A lot A lot A lot A lot A lot A lot A lot A lot A lot
N/A N/A N/A N/A N/A N/A N/A N/A N/A
What difficulties you have met? * Time allocated for the activity Not enough time Too long
No No
Partially Partially
Yes Yes
* Your Relationship with Other students involved in the activity The people you have been assisting The institution you were working for The supervisor of your activity
Bad Bad Bad Bad
Good Good Good Good
Excellent Excellent Excellent Excellent
____________________________________________________________________________________________________ CAS-Self Evaluation Form –CAS003/CSEF -DFC Owner Title: CAS Coordinator Date of Issue: Sep-05 Date of Use: 05/06
Green Land International School
Ecole Internationale du Pré Vert
مدرســة الرض المخضـرة الدولية How much did you find this activity useful to Not
Slightly
Exceptional
Why
Yourself Your Community: - School - Family - Neighbors - Country - World
How would you improve your performance next time you repeat this activity? ………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………
Personal Comments: ………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………..…………….. ………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………………..………….. ………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………..…………….. ………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………… ……………………………………………………………………………………………………………………………..…………..
Student’s name:……………………………… Signature: ………………………….…..……. Date: …………………………………….……
____________________________________________________________________________________________________ CAS-Self Evaluation Form –CAS003/CSEF -DFC Owner Title: CAS Coordinator Date of Issue: Sep-05 Date of Use: 05/06