G D GOENKA WORLD SCHOOL

CAS: Activity Self-Evaluation form

Candidates must complete a copy of this form at the end of each activity. Type the information in SOFT COPY using black ink for mail.

SUBMIT TO: GYANENDRA TEWATIA (CAS COORDINATOR) DATE:SCHOOL NAME: G D GOENKA WORLD SCHOOL SCHOOL CODE: 2279

CANDIDATE SELF-EVALUATION

CANDIDATE NAME: ______________________________ CAND NO: _____________

NAME OF ACTIVITY: _____________________________ NO OF HOURS (APPROX): ____________

ACTIVITY LEADER: _______________________________

LEARNING OUTCOMES ACHIEVED: ______________________________________________________

1. Summarize what you did in this activity and how you interacted with others.________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2. Explain what you hoped to accomplish through this activity.___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

3. How successful were you in achieving your goals? What difficulties did you encounter and how did you overcome them?___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

4. What did you learn about yourself and others through this activity?’___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Gyanendra Tewatia; IBDP CAS Coordinator 2011-13 09958628767

5. Did anyone help you to think about your learning during this activity? If so, who helped and how did they help?___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

6. How did this activity benefit others?___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

7. What might you do differently next time to improve?___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

8. How can you apply what you have learned in other life situations?___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Candidate Signature:___________________________ Date: _____________

To be completed by the Activity Leader

Punctuality and attendance:________________________________________

Effort and commitment:___________________________________________

Further comments:________________________________________________

The activity was (circle the desired response)

Satisfactorily completed Not satisfactorily completed

Activity leader’s name: ____________________________

Activity leader’s signature: _________________________ Date __________

Activity leader’s phone no: _______________email____________________

CAS Mentor Name____________________________________ Mentor Sign__________________

CAS Coordinator Signature: _____________________________________Gyanendra Tewatia; IBDP CAS Coordinator 2011-13 09958628767

Gyanendra Tewatia; IBDP CAS Coordinator 2011-13 09958628767