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CAS: Project or Activity/Class 2010 and beyond Project/Activity:___________________________________(check) ___C__A__S

Name:_______________________________ Date:______________________

Hours (see cumulative total, other side): 1. What strengths do you think you brought to this activity? What did you realize you need to improve on? 2. Was there a new challenge in this activity? Describe it. Did you realize new skills? 3. How did you plan this activity?

4. If you worked with others in this activity, explain that. 5. Is this something you can demonstrate a long-range commitment to? 6. Does your activity have a global dimension to it, have to do with a global issue or problem? 7. Are there any ethical implications to your actions?

Time sheet Date Dec.2010 Jan. 2011 Feb. 2011 Mar.2011 Apr.2011 May.2011 June.2011 Sep.2011 Oct.2011 Nov.2011 Total

Hours 5 10 10 10 10 10 5 10 10 10 90

Date Dec.2011 Jan.2011 Feb.2011

Hours 5 10 10

Date

Hours

Date

Hours

Date

Hours

Date

Hours

Total

25

Total

Total

Total

Cumulative Total:__115_______________________ To be completed by the activity/project leader Further comments: Activity/Project was (circle) Satisfactorily completed Activity/project leaders name and signature:_______________________________________Phone or email:___________________________ Return to: Kate Meenan-Waugh CAS/Community Service Coordinator Washington International School 3100 Macomb St., NW Washington, DC 20008 Not satisfactorily completed OR

email: meenan-waugh@wis.edu FAX: 202 243 1802 Tel: 202 243 1884

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