Brent International School Subic

CREATIVITY, ACTION, SERVICE

CAS$Activity$Proposal$Form$
Answer$the$pre7planning$questions$to$help$you$identify$your$goals$for$the$activity.$ (You$can$use$TAB,$the$ARROW$keys,$or$your$mouse$to$navigate$to$the$necessary$fields.)$

(To$be$signed$by$the$supervisor)$ $

$
Student$ Year$$$$$$$$ $ Activity$/$Project$ $ Supervisor$ $

Date(s)$/$Duration$of$Activity$ $

What$is$my$past$experience$with$this$activity?$$
$

What$new$learning$or$skill$do$I$hope$to$pick$up$or$develop?$
$

How$will$this$experience$be$different$from$that$of$the$past?$
$

How$am$I$going$to$know$if$I$am$making$progress$or$experiencing$growth$in$this$activity?$
$

Goals$$What$is/are$your$goal/s$for$this$activity?$What$do$you$hope$to$achieve?$
$

Impact$$Who$will$benefit$from$this$activity?$How?$
$

Timeline$$Where,$how$often,$and$for$how$long$will$the$activity$take$place?$(specific$dates$whenever$possible)$
$

$
Students$Conforme:$ $ I"will"commit"to"the"activity"at"the"above0stated"time/s"and"given"duration"to"the"best"of"my"abilities."I" understand"that"it"is"my"responsibility"to"see"this"activity"to"its"completion,"and"once"approved,"can"only"be" cancelled"through"negotiation"with"the"supervisor"and"the"CAS"Coordinator." $ Students$Signature:$_______________________________$ Date:$_____________________$ $ Supervisors$Conforme:$ $ The"student"has"provided"me"with"information"about"the"activity"being"proposed."I"understand"what"my"role" as"supervisor"is,"and"I"agree"to"monitor"the"students"progress."I"will"sign"the"students"CAS"activity"log"on"a" regular"basis"to"assure"that"s/he"is"fulfilling"her/his"commitment"and"meeting"the"schools"expectations."Upon" completion"of"the"activity,"I"will"comment"on"and"evaluate"the"students"participation"based"on"the"given" standards"of"the"International"Baccalaureate."$

$ $ $ $

Supervisors$Signature:$_____________________________$ Contact$#:$________________________$

Date:$_____________________$

$Email:$_________________________________$

For$the$CAS$Coordinators$use:$$
Final$Comments/Remarks$ $ $$Approved$ $ $ $$Denied$ $ Remarks:$$$ $

$ $ $ $
Coordinators$Signature:$_____________________________$ Date:$_____________________

Email: cas@brentsubic.edu.ph

Phone: (047)2521640

CAS site: http://mrtolentino.weebly.com/cas.html