Download - Activity project proposal form
G D GOENKA WORLD SCHOOLCAS: Activity/ Project Proposal form
Please complete, print, and return to Mr. Gyanendra Tewatia BEFORE beginning any CAS
project/activities. All projects/activities are subject to approval, and any project
started before approval may not be counted.
Name: ________________________________ Date: ___________
I would like to propose the following activity:
____________________________________________________
This fits into the category of (creativity) (Action) (Service)
Describe the activity:
List the goals related to the activity:
Learning outcomes going to achieve:
I expect to complete approximately ___hours in this activity from _______ to _______ (dates).
The sponsoring adult who will document my activity is
Mr./Mrs.____________________________________
His/her business phone number is ___________
I would produce authentic evidence for my project/activity in the following form: Photos/ videos, Certificate, Copy of program schedule/
Fixture of the Matches, Letter of Certification from consent authority/District Sports Officer (DSO), any other documentary evidence.
Student Signature Adult Supervisor Sign CAS
Mentor Sign
…………………………………………………………………………………………………………………………
To be completed by CAS Coordinator
This activity is approved: [ ]
This activity is not approved until the following changes are made: [ ]
Gyanendra Tewatia; IBDP CAS Coordinator 2011-13 09958628767
Signature of CAS Coordinator Date:
Note: It is the student’s responsibility to have parent permission and an adult supervisor at all CAS endeavors that are not
school sponsored activities. G D Goenka World School does not officially sponsor any outside CAS activities and parent/students
assume their own risk for these events.
Gyanendra Tewatia; IBDP CAS Coordinator 2011-13 09958628767