North MecklenburgIB DP CAS Reflection Form
Name: ______
Grade ______
Name of Activity/Organization:______
Date the activity began and ended: ______
Total # of hours: ______
What did you do during this activity? Explain on back side of this page.
Directions: Please place a check (√) by each of the learning outcomes you achieved during this activity and use the box to the right of the check to explain how this learning outcome was achieved. (Not all learning outcomes will be achieved for each activity, but all outcomes will be achieved over time.)
Learning outcome*See #’s on back / Achieved / Briefly brainstorm/explain how the learning outcome was achieved through this activity.
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Student Signature:______
TO BE COMPLETED BY THE ACTIVITY SUPERVISOR (an adult not related to the student)
Please comment on student’s performance:
Activity Leader’s signature:______Date:______
Activity Leader’s name:______
Agency/Organization:______
Contact phone number/e-mail:______
Here is a link to the LOG SHEET for your CAS Projects! H:\CAS\CAS Log Sheet.docx
What did you do for this activity? Did this experience involve Creativity, Action, and/or Service? Write a clear and complete reflection on your entire CAS experience. Be sure to organize your reflection. Include the task, what you hoped to achieve before starting the task, what you achieved when finished, how the learning outcomes were involved, how this experience has improved your life, what impact you had on the community etc. Would you do this experience again? If so, what can you do to increase your involvement, or continue what you started?
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YOU DO NOT NEED TO PRINT THIS PAGE EVERYTIME! PRINT ONCE AND KEEP FOR YOUR REFERENCE IN COMPLETING FUTURE REFLECTIONS
Outcome 1: Increase their awareness of their strengths and areas for growth
They are able to see themselves as individuals with various skills and abilities, some more developed than others, and understand that they can make choices about how they wish to move forward.
Outcome 2:Undertaken new challenges
A new challenge may be an unfamiliar activity, or an extension to an existing one.
Outcome 3:Planned and initiated activities
Planning and initiation will often be in collaboration with others. It can be shown in activities that are part of larger projects, for example ongoing school activities in the local community, as well as in small student-led activities.
Outcome 4:Worked collaboratively with others
Collaboration can be shown in many activities, such as team sports, playing music in a band, or helping in a kindergarten.
Outcome 5:Shown perseverance and commitment on their activities
At a minimum, this implies attending regularly and accepting a share of the responsibility for dealing with problems that arise in the course of activities.
Outcome 6: Engaged with issues of global importance
Students may be involved in international projects but there are many global issues that can be acted upon locally or nationally (for example, environmental concerns, caring for the elderly).
Outcome 7:Considered the ethical implications of your actions
Ethical decisions arise in almost any CAS activity (for example, on the sports field, in musical composition, in relationships with others involved in service activities).
Outcome 8:Developed new skills
As with new challenges, new skills may by shown in activities that the students has not previously undertaken, or in increased expertise in an established area.