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CAS Proposal Form

VI Liceum Ogólnokształcące im. J. Słowackiego w Kielcach

This form must be completed and approved before beginning the CAS experience.

Candidate’s Name: Mateusz Kruk

Type of CAS experience: Creativity

Dates of proposed CAS experience: From 28.12.2020 to 28.02.2021

Estimated number of hours: 30

Name of CAS experience: Chess

Supervisor’s name: ______________________________________________

Phone number, address or email: ______________________________________________

I have read the letter to the supervisor and agreed to supervise the above student.

Supervisor’s signature: ________________________________

Why is it a good CAS experience?

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What personal benefits or learning outcomes can you gain through this CAS experience?

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Student’s Signature: ____________________________________ Date:________

CAS Coordinator’s Signature: _____________________________ Date: _______

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