Student\'s Self Evaluation Form

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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: ……………………….

______________________________________________________________________________________________________________________________

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

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