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Green Land Ecole Internationale

International School du Pré Vert

‫مدرســة الرض المخضـرة الدولية‬


CAS ACTIVITIES STUDENT’S SELF EVALUATION FORM
Student’s Name: ………………….. Grade:…………… SY: /
Activity Title: ………………..……. Creativity, Action, and or service / Activity Code
Date:……………………….……..… Duration:…….. hr/s
Location:…………………….…..… Supervisor’s Name: ……………………….
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Short description of your activity:


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Why did you choose this activity? Did you find the experience worthwhile? Has it taught you
something?
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What/who helped you most in reflecting on what you were doing? How?
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IN PARTICULAR, HAS YOUR ACTIVITY HELPED THE FOLLOWING: (Circle the answer you choose)

Sense of responsibility No A bit A lot N/A


Compassion No A bit A lot N/A
Awareness of different cultures No A bit A lot N/A
Sense of service to the others and to the needs of the community No A bit A lot N/A
Initiative No A bit A lot N/A
Leadership No A bit A lot N/A
Willingness to accept advice No A bit A lot N/A
Competitiveness No A bit A lot N/A
Teamwork No A bit A lot N/A

What difficulties you have met?


* Time allocated for the activity
Not enough time No Partially Yes
Too long No Partially Yes
* Your Relationship with
Other students involved in the activity Bad Good Excellent
The people you have been assisting Bad Good Excellent
The institution you were working for Bad Good Excellent
The supervisor of your activity Bad Good Excellent

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CAS-Self Evaluation Form –CAS003/CSEF -DFC Owner Title: CAS Coordinator
Date of Issue: Sep-05 Date of Use: 05/06
Green Land Ecole Internationale
International School du Pré Vert

‫مدرســة الرض المخضـرة الدولية‬

How much did you find this activity useful to

Not Slightly Exceptional Why


Yourself

Your Community:
- School
- Family

- Neighbors

- Country

- World

How would you improve your performance next time you repeat this activity?
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Personal Comments:
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Student’s name:………………………………
Signature: ………………………….…..…….
Date: …………………………………….……

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CAS-Self Evaluation Form –CAS003/CSEF -DFC Owner Title: CAS Coordinator
Date of Issue: Sep-05 Date of Use: 05/06

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