IB CAS Proposal Form

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IB CAS Proposal Form

This form is to be submitted before you begin a CAS activity. Your supervisor will check the details of your
submissions and will inform you if the activity satisfies the IB requirements.

Students Name (please PRINT):

Date:

Tel no. Email:

Grade: IB supervisor: ...............................................

Please answer the following questions:

1. Proposed date to begin 23/02/2008

2. Proposed date to end 24/03/2008

3. Your activity relates to which of the following (circle one or more of the titles below)

Creativity Action Service

4. Briefly describe the activity

This was designing the School’s main staff room. This included changing furniture, wall paint, and

interior design.

5. What do you hope to achieve by doing this activity. Will you learn something new, improve on
something you already have, develop new social skills etc.

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6. How will you measure or evaluate what you are doing or achieving. In some activities this will be
difficult to do as it may involve things like improving social and interpersonal skills.

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7. Who will supervise what you are going to do? Please give the name, address and telephone
number.

Name: ………………………………………………………………..

Address (if applicable): …………………………………………………………....................

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Telephone No: ……………………………………………………………

CAS Activity Evaluation Form

The following questions should be answered at the end of each activity. These are guiding or suggested
questions. If you wish to write a continuous response then you can do so but bear in mind that your
response should include answers to the questions and ideas below.

Students Name (please PRINT) ……………………………………………………………………

Activity: …………………………………………………………………………..

1. What did you do and how did you interact with others?
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2. What did you hope to achieve through this project?


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3. How successful were you in achieving your goals? Did you have any problems? How did you try

to overcome them?

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4. What did learn about yourself and others through carrying out this activity? Give some
times to your answer here as it is central to the IB philosophy.

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5. Did the activity benefit others and if so, how?

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6. What might you do differently next time to improve the activity?

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7. How can you apply what you have learned to different situations you might come across in your

life?

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Students signature: ……………………………………………………………………

Date: ……………………………………

TO BE COMPLETED BY THE SUPERVISOR

Please circle the appropriate responses

1. Punctuality Good Satisfactory Poor

2. Effort Good Satisfactory Poor

3. Commitment Good Satisfactory Poor

4. In your opinion the activity was completed Satisfactorily Not Satisfactorily

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Any further comments:

……………………………………………………………………………………………………………

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Activity leader’s name (please PRINT) …………………………………………………………

Activity leader’s signature ………………………………………………

Date: ………………….

Thank you for your time and assistance – it is very much appreciated.

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