CAS PROPOSAL FORM

This form must be submitted and approved by the CAS Coordinator BEFORE you
begin work!

Name: ________________________________ Grade: _________

1. Activity: Describe the activity you wish to undertake.

2. Goals: What are your personal goals for this activity? What do you anticipate
learning?

3. Impact: Who will benefit from this activity (could be you)?

4. Timeline: Where, how often, and for how long will the activity take place?
(specific dates, if possible)

STUDENT AGREEMENT: I will commit myself to the activity at the above stated time/s and
given duration to the best of my ability. I understand that failure to meet my commitment
without valid reason will jeopardize any hours accumulated through this activity. It is also
understood that this activity can only be cancelled through negotiation with the supervisor and
CAS Coordinator.

Student Signature: ______________________________ Date: ________________________

SUPERVISOR AGREEMENT: The student has provided information about the CAS program
and I understand what my role as supervisor is. I agree to monitor the student’s progress and to
sign the student’s CAS activity logo n a regular basis to assure that s/he is satisfactorily
fulfilling the agreed function. Upon completion of the activity, I will supply comment son the
student’s Activity Evaluation Form for the International Baccalaureate.

Name of Supervisor: ____________________________ Organization: _________________

Address, email and contact number of supervisor if NOT at Brent Baguio:

_____________________________________________________________________________

Supervisor Signature: ___________________________ Date: ________________________

Approved by CAS Coordinator: ___________________________ Date: ________

cwright@brentbaguio.edu.ph richard.egmalis@brentbaguio.edu.ph
Comments:
 CAS PROPOSAL FORM
What is CAS?
 Real, purposeful activities, with significant
outcomes
 Personal challenge – tasks must extend the
student
 Thoughtful consideration, such as planning,
reviewing progress, and reporting
 Opportunity for reflection on outcomes and
personal learning

Questions to ask yourself:

Is the activity a new role for me?

Is it a real task that I am going to undertake?

Does it have real consequences for other

people and for me?

What do I hope to learn from getting

involved?

How can this activity benefit other people?

How does this activity relate to the Learning

Outcomes?

How can I reflect on this activity?

Have I found an adult supervisor yet?