Master Agreement Form

Please fill out the following form in its entirety. It is important that all information be accurate for the success of your overall project. A digital copy of this form will be included as a part of your digital portfolio.

Senior Project Proposal

Student Name Address

(TYPE IN THE FOLLOWING INFORMATION.)

Your Cell Phone E-mail @etowahhighschool.net

Home Phone Teacher

Directions: You will pitch your proposal in class via PowerPoint or Prezi. The following questions are to be addressed in your presentation. Describe your Product and respond to the following questions in as much detail as possible. All questions must be completed thoroughly to receive approval for your Product and Project. Follow the model on the following page precisely.
1) Describe what you are proposing to do for your Product step-by-step and in detail.

2) What is your previous experience in this area of study? 3) How is this Product a learning stretch and challenge for you?

4) How long do you expect it to take you to complete your Product?

5) When and where will you work on your Product?

6) What are your estimated costs for completing the Product, and how will you fund these costs? 7) Whom have you chosen as your Project Facilitator? 8) What is this persons expertise in this field?

9) What steps will you need to take before you begin work on your Product?

10) What concepts, skills, knowledge, and/or career goals do you hope to attain upon completion of your Product?

11) How will you demonstrate your Product for Presentation at Senior Boards?

Project Facilitators Role

Read the following statements and sign below to acknowledge that you understand your role as well as that of your Project Facilitator in completing the Product component of your Senior Project. I understand that I have to give my Project Facilitator a copy of the Project Facilitator Agreement Form. I understand that it is my responsibility to present my Project Facilitator with a copy of my Senior Project Approval Form which outlines the projected steps, costs, and timeframe projected for completion of my Product. I understand that my Project Facilitators role is to enable me to create a challenging yet achievable Product. Depending on the nature of my Product, I may meet with him/her on a sustained basis or a periodic basis. If it is a sustained period of time in the form of a series of lessons, I will complete the majority of my 15 hrs. in the presence of my PF. If it is on a periodic basis, I will meet with my PF at specified intervals to acquire the knowledge necessary to complete the Product on my own. I understand that my Project Facilitator will be asked to verify the time I spend on my fieldwork (minimum of fifteen hours) by signing the Product Work Log on the specified due dates. I also understand that my PF must submit the Product Verification Form to my teacher upon completion of my Product confirming it is my work. I understand that my parent/guardian or relative cannot serve as my Project Facilitator and that my PF must be 25 years of age or older. I understand that my PF must be someone who resides locally, whom I can contact easily, so that I may maintain contact with him/her. I understand that my parents/guardians must sign the Senior Project: Parent/Guardian Consent Form endorsing my Project Facilitator and that it must be turned into my teacher by the designated due date.

Project Facilitator Agreement

Facilitators Name (Type in.): Address: City, State, Zip: Facilitators Email Address:

Thank you for volunteering your time to serve as a Project Facilitator for a student involved in Senior Project at Etowah High School. This Project offers seniors a real world experience as they journey into a topic of their choice, one that they are passionate about and one that they link to a career. Throughout the year, they must pursue a rigorous, measurable learning stretch, as they complete each of the four components of the Project: a Research Paper, a Product, a Portfolio, and a culminating Presentation in May Senior Boards. Sustained Instruction: The PFs role may be to give sustained instruction in the form of a progression of lessons during which the student might learn how to scuba dive or how to communicate through the use of Sign Language. The instructor becomes the Project Facilitator. In this case, you, the student will meet with your PF on a regular basis in completing most of the 15 required hours. To satisfy the remaining hours required for the learning stretch, you will then decide how to reveal your new skill(s) as a tangible Product. You might create a demonstration, digital scrapbook, a professionally-bound cookbook, a video, or a digital portfolio, separate from your Senior Project Portfolio.

Periodic Instruction: On the other hand, the PFs role may be to provide you with periodic instruction. If this is the case, you will meet with your PF for step-by-step instruction. However, you complete each task on your own without the PF present. Most of the required 15 hrs. is completed away from the PF, yet the PF still provides the you with the expertise necessary to create a challenging yet achievable Product. Once again, to satisfy the remaining hours required for a rigorous learning stretch, you will then decide how to reveal your new skill(s) as a tangible Product. You might create a demonstration, digital scrapbook, a professionally-bound cookbook, a video, or a digital portfolio, separate from your Senior Project Portfolio. Fundamentally, the role of the PF is to . . . o enable the student to create a challenging yet achievable tangible Product o guide, encourage, and oversee the students progress o verify the time student spends on his/her fieldwork (minimum of 15 hrs.)

Parent/Guardian Consent
Parent/Guardian Name (Type in.): Address: City, State, Zip: Email Address:

As the parent/guardian of a senior at Etowah High School, I am aware that my son/daughter is required to successfully complete the Senior Project in addition to their senior year English curriculum. I am also aware that the four components of the Project are the Research Paper, a tangible Product, a comprehensive Portfolio, and a Presentation before a panel of judges from the community and school known as Senior Boards. I understand that the Project selection is student-centered and career-related. I realize the tangible Product that is due the third nine weeks of the school year must relate to the Research Paper and represent a rigorous, definable learning stretch that must reflect a significant body of work. I know that my son/daughter will be signing an Ethical Commitment Form, which I have reviewed (Appendix M). I understand that if my son/daughter plagiarizes any of the three components - prior to Senior Boards - that he/she will have to complete an entirely new Project and submit a Portfolio of the new Project by the date set for Stand and Deliver to begin. Only in this way will he/she become eligible for completion of the fourth component, the Presentation. I understand that the Project Facilitator(s) chosen by my son/daughter. I assume all responsibility for costs and risks inherent in his/her chosen Project. I am aware that these individuals are not endorsed by nor are their credentials screened or reviewed by the Cherokee County School District. Therefore, I understand that it is my responsibility as the parent/guardian to review the qualification and/or licensing of this Project Facilitator prior to giving my consent/endorsement as well as to provide all supervision of my child while working with this individual on his/her Product. Cherokee County School District has not undertaken any background checks on the Project Facilitator. It is the responsibility of each parent to ensure the suitability of the Project Facilitator that you and your student select.

SIGNATURES
Parent/Guardian Signature:
I, the undersigned, have read the student responsibilities and expectations listed, as well as the responsibilities of myself as the parent/guardian of my student. I acknowledge that it is the responsibility of my student to complete the Paper and Product as listed in the Senior Project Handbook. Signature ________________________________________
(Parent/Guardian Personal Signature)

Date _________________________

Project Facilitator Signature:

I, the undersigned, have met with the above named student and have reviewed the plans for completion of his/her Product as outlined in the Proposal: Senior Project Approval Form. I acknowledge that it is the responsibility of the student to complete the Product on his/her own by April 14, 2013. I also agree to complete the Product Verification Form and send it to the students English teacher once the student has completed the Product. Signature ________________________________________
(Project Facilitators Personal Signature)

Date _________________________

Student Signature & Ethical Commitment

As a student at Etowah High School, completing my Senior Project is a requirement for passing English Literature & Composition, I pledge to adhere to the following as a demonstration of my honor and integrity: 1. I understand that I am responsible for meeting all deadlines and completing all requirements as stated in the assignment due dates in the handbook. 2. I alone will complete the research necessary to write the research paper component of my project. 3. I will document my paper according to the MLA format as shown in the MLA stylebook. 4. I will maintain the highest standards of honesty and integrity while writing my research paper. 5. I promise not to plagiarize my paper in whole or in any part, which includes submitting the work of another, either published or unpublished. 6. I will include in my portfolio only work that I have created and completed myself. 7. I will collect accurate verifications of the fieldwork I do. I will not forge any verification documents. 8. I alone will do the work necessary for the completion of the product. 9. Throughout the work on my Senior Project, I will maintain the highest standards of moral and ethical conduct. 10. I understand that if I am suspected of committing plagiarism or misrepresenting any portion of my project, I will be referred to the Advisory Board for appropriate disciplinary action. As an honorable student of integrity with full realization of the responsibility and commitment involved, I agree to adhere to the above criteria in completing my Senior Project and I agree to complete the above stated Product in partial fulfillment of my Senior Project requirement. I understand that I will not be allowed to change my topic after September 14, 2012. I understand that I must also obtain my parents or guardians permission on the proper form before this agreement is valid. Signature ________________________________________
(Students Personal Signature)

Date _________________________