Le Passeport de l’élève fait partie de l’atelier
« S’investir dans nos communautés…en
citoyennes et citoyens du monde ». Il
témoigne de l’engagement de la ou du titu-
laire de ce passeport à l’égard des activités
qui font la promotion des valeurs suivantes :
Écologie
Démocratie
Pacifisme
Solidarité
Un autocollant apposé à ce passeport est la
preuve que le ou la titulaire a participé
activement à un projet ou à une activité qui
se déroule à l’école, dans la collectivité ou
dans le monde.
Le Passeport de l’élève fait partie de l’atelier
« S’investir dans nos communautés…en
citoyennes et citoyens du monde ». Il
témoigne de l’engagement de la ou du titu-
laire de ce passeport à l’égard des activités
qui font la promotion des valeurs suivantes :
Écologie
Démocratie
Pacifisme
Solidarité
Un autocollant apposé à ce passeport est la
preuve que le ou la titulaire a participé
activement à un projet ou à une activité qui
se déroule à l’école, dans la collectivité ou
dans le monde.
or the world at large.
project or activity in their school, community
the bearer has been actively engaged in a
A sticker affixed to this passport is proof that
Solidarity
Peace
Democracy
Environment
promote the following values:
bearer’s commitment to activities that
workshop. This passport demonstrates the
in our Communities as Global Citizens’’
This Student Passport is part of the “Engaging
or the world at large.
project or activity in their school, community
the bearer has been actively engaged in a
A sticker affixed to this passport is proof that
Solidarity
Peace
Democracy
Environment
promote the following values:
bearer’s commitment to activities that
workshop. This passport demonstrates the
in our Communities as Global Citizens’’
This Student Passport is part of the “Engaging
______________________________________________________
Signature
______________________________________________________
Date de délivrance
______________________________________________________ Image
École
______________________________________________________
Première lettre du nom
______________________________________________________
Prénom

First name
______________________________________________________
First letter of last name
______________________________________________________
School
Image ______________________________________________________
Date issued
______________________________________________________
Signature
______________________________________________________

______________________________________________________
Signature
______________________________________________________
Date de délivrance
______________________________________________________ Image
École
______________________________________________________
Première lettre du nom
______________________________________________________
Prénom

First name
______________________________________________________
First letter of last name
______________________________________________________
School
Image ______________________________________________________
Date issued
______________________________________________________
Signature
______________________________________________________
 Student PASSPORT 2
Nom de l’activité et/ou du projet
____________________________________________________________ ____________________________________________________________
____________________________________________________________
Date(s) de réalisation de l’activité et/ou du projet : ____________________
____________________________________________________________
Valeurs transmises par l’activité et/ou le projet
❍ Écologie ❍ Pacifisme ❍ Solidarité ❍ Démocratie ____________________________________________________________
____________________________________________________________
Description de l’activité et/ou du projet et de ses retombées :
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
Description of the activity or project and its results:
____________________________________________________________
____________________________________________________________
❍ Solidarity ❍ Environment ❍ Democracy ❍ Peace
Values fostered by the activity or project
____________________________________________________________
Date(s) the activity or project was carried out: _______________________
____________________________________________________________
____________________________________________________________ ____________________________________________________________
Name of the activity or project
2 PASSEPORT de l’élève
Student PASSPORT 2
Nom de l’activité et/ou du projet
____________________________________________________________ ____________________________________________________________
____________________________________________________________
Date(s) de réalisation de l’activité et/ou du projet : ____________________
____________________________________________________________
Valeurs transmises par l’activité et/ou le projet
❍ Écologie ❍ Pacifisme ❍ Solidarité ❍ Démocratie ____________________________________________________________
____________________________________________________________
Description de l’activité et/ou du projet et de ses retombées :
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
Description of the activity or project and its results:
____________________________________________________________
____________________________________________________________
❍ Solidarity ❍ Environment ❍ Democracy ❍ Peace
Values fostered by the activity or project
____________________________________________________________
Date(s) the activity or project was carried out: _______________________
____________________________________________________________
____________________________________________________________ ____________________________________________________________
Name of the activity or project
2 PASSEPORT de l’élève
3 PASSEPORT de l’élève

2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014

I hope that people will finally come to realize that there is only one ‘race’ –
Entourez l’année de réalisation du projet : the human race – and that we are all members of it.
Margaret Atwood, Canadian author
Date : ___________________________
autocollant What I gained from the activity or project:
________________________________
____________________________________________________________
Signature de la personne responsable :
____________________________________________________________
____________________________________________________________
____________________________________________________________
Nom de la personne responsable :
____________________________________________________________
____________________________________________________________
____________________________________________________________
Organisme ou établissement :
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
Organization or institution:
____________________________________________________________
____________________________________________________________
____________________________________________________________
Name of person in charge:
____________________________________________________________
____________________________________________________________
____________________________________________________________
Signature of person in charge:
____________________________________________________________
________________________________
Ce que ça m’a apporté : Place sticker here
Date: ___________________________
Margaret Atwood, auteure canadienne
la race humaine, et que nous en faisons tous partie. Circle the year in which the activity or project was completed:
2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014
J’espère que les gens en viendront à se rendre compte qu’il n’y a qu’une race,
Student PASSPORT 3

3 PASSEPORT de l’élève

2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014

I hope that people will finally come to realize that there is only one ‘race’ –
Entourez l’année de réalisation du projet : the human race – and that we are all members of it.
Margaret Atwood, Canadian author
Date : ___________________________
autocollant What I gained from the activity or project:
________________________________
____________________________________________________________
Signature de la personne responsable :
____________________________________________________________
____________________________________________________________
____________________________________________________________
Nom de la personne responsable :
____________________________________________________________
____________________________________________________________
____________________________________________________________
Organisme ou établissement :
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
Organization or institution:
____________________________________________________________
____________________________________________________________
____________________________________________________________
Name of person in charge:
____________________________________________________________
____________________________________________________________
____________________________________________________________
Signature of person in charge:
____________________________________________________________
________________________________
Ce que ça m’a apporté : Place sticker here
Date: ___________________________
Margaret Atwood, auteure canadienne
la race humaine, et que nous en faisons tous partie. Circle the year in which the activity or project was completed:
2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014
J’espère que les gens en viendront à se rendre compte qu’il n’y a qu’une race,
Student PASSPORT 3
 Student PASSPORT 4
Nom de l’activité et/ou du projet
____________________________________________________________ ____________________________________________________________
____________________________________________________________
Date(s) de réalisation de l’activité et/ou du projet : ____________________
____________________________________________________________
Valeurs transmises par l’activité et/ou le projet
❍ Écologie ❍ Pacifisme ❍ Solidarité ❍ Démocratie ____________________________________________________________
____________________________________________________________
Description de l’activité et/ou du projet et de ses retombées :
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
Description of the activity or project and its results:
____________________________________________________________
____________________________________________________________
❍ Solidarity ❍ Environment ❍ Democracy ❍ Peace
Values fostered by the activity or project
____________________________________________________________
Date(s) the activity or project was carried out: _______________________
____________________________________________________________
____________________________________________________________ ____________________________________________________________
Name of the activity or project
4 PASSEPORT de l’élève
Student PASSPORT 4
Nom de l’activité et/ou du projet
____________________________________________________________ ____________________________________________________________
____________________________________________________________
Date(s) de réalisation de l’activité et/ou du projet : ____________________
____________________________________________________________
Valeurs transmises par l’activité et/ou le projet
❍ Écologie ❍ Pacifisme ❍ Solidarité ❍ Démocratie ____________________________________________________________
____________________________________________________________
Description de l’activité et/ou du projet et de ses retombées :
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
Description of the activity or project and its results:
____________________________________________________________
____________________________________________________________
❍ Solidarity ❍ Environment ❍ Democracy ❍ Peace
Values fostered by the activity or project
____________________________________________________________
Date(s) the activity or project was carried out: _______________________
____________________________________________________________
____________________________________________________________ ____________________________________________________________
Name of the activity or project
4 PASSEPORT de l’élève
5 PASSEPORT de l’élève

2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014

My friends, watch out for the little fellow with an idea.
Entourez l’année de réalisation du projet : Tommy Douglas, father of Medicare in Canada

Date : ___________________________
autocollant What I gained from the activity or project:
________________________________
____________________________________________________________
Signature de la personne responsable :
____________________________________________________________
____________________________________________________________
____________________________________________________________
Nom de la personne responsable :
____________________________________________________________
____________________________________________________________
____________________________________________________________
Organisme ou établissement :
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
Organization or institution:
____________________________________________________________
____________________________________________________________
____________________________________________________________
Name of person in charge:
____________________________________________________________
____________________________________________________________
____________________________________________________________
Signature of person in charge:
____________________________________________________________
________________________________
Ce que ça m’a apporté : Place sticker here
Date: ___________________________

Tommy Douglas, père du régime d’assurance-maladie au Canada Circle the year in which the activity or project was completed:
2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014
Mes amis, surveillez bien le petit personnage avec une idée.
Student PASSPORT 5

5 PASSEPORT de l’élève

2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014

My friends, watch out for the little fellow with an idea.
Entourez l’année de réalisation du projet : Tommy Douglas, father of Medicare in Canada

Date : ___________________________
autocollant What I gained from the activity or project:
________________________________
____________________________________________________________
Signature de la personne responsable :
____________________________________________________________
____________________________________________________________
____________________________________________________________
Nom de la personne responsable :
____________________________________________________________
____________________________________________________________
____________________________________________________________
Organisme ou établissement :
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
Organization or institution:
____________________________________________________________
____________________________________________________________
____________________________________________________________
Name of person in charge:
____________________________________________________________
____________________________________________________________
____________________________________________________________
Signature of person in charge:
____________________________________________________________
________________________________
Ce que ça m’a apporté : Place sticker here
Date: ___________________________

Tommy Douglas, père du régime d’assurance-maladie au Canada Circle the year in which the activity or project was completed:
2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014
Mes amis, surveillez bien le petit personnage avec une idée.
Student PASSPORT 5
 Student PASSPORT 6
Nom de l’activité et/ou du projet
____________________________________________________________ ____________________________________________________________
____________________________________________________________
Date(s) de réalisation de l’activité et/ou du projet : ____________________
____________________________________________________________
Valeurs transmises par l’activité et/ou le projet
❍ Écologie ❍ Pacifisme ❍ Solidarité ❍ Démocratie ____________________________________________________________
____________________________________________________________
Description de l’activité et/ou du projet et de ses retombées :
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
Description of the activity or project and its results:
____________________________________________________________
____________________________________________________________
❍ Solidarity ❍ Environment ❍ Democracy ❍ Peace
Values fostered by the activity or project
____________________________________________________________
Date(s) the activity or project was carried out: _______________________
____________________________________________________________
____________________________________________________________ ____________________________________________________________
Name of the activity or project
6 PASSEPORT de l’élève
Student PASSPORT 6
Nom de l’activité et/ou du projet
____________________________________________________________ ____________________________________________________________
____________________________________________________________
Date(s) de réalisation de l’activité et/ou du projet : ____________________
____________________________________________________________
Valeurs transmises par l’activité et/ou le projet
❍ Écologie ❍ Pacifisme ❍ Solidarité ❍ Démocratie ____________________________________________________________
____________________________________________________________
Description de l’activité et/ou du projet et de ses retombées :
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
Description of the activity or project and its results:
____________________________________________________________
____________________________________________________________
❍ Solidarity ❍ Environment ❍ Democracy ❍ Peace
Values fostered by the activity or project
____________________________________________________________
Date(s) the activity or project was carried out: _______________________
____________________________________________________________
____________________________________________________________ ____________________________________________________________
Name of the activity or project
6 PASSEPORT de l’élève
7 Student PASSPORT
2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014
J’aimerais tant que les gens sachent que tout est possible si on essaie. Les
Circle the year in which the activity or project was completed: rêves deviennent réalité lorsque les gens s’y mettent.
Terry Fox, héros canadien
Date: ___________________________
Place sticker here Ce que ça m’a apporté :
________________________________
____________________________________________________________
Signature of person in charge:
____________________________________________________________
____________________________________________________________
____________________________________________________________
Name of person in charge:
____________________________________________________________
____________________________________________________________
____________________________________________________________
Organization or institution:
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
Organisme ou établissement :
____________________________________________________________
____________________________________________________________
____________________________________________________________
Nom de la personne responsable :
____________________________________________________________
____________________________________________________________
____________________________________________________________
Signature de la personne responsable :
____________________________________________________________
________________________________
What I gained from the activity or project: autocollant
Date : ___________________________
Terry Fox, Canadian hero
are made if people try. Entourez l’année de réalisation du projet :
2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014
I just wish people would realize that anything’s possible if you try. Dreams
PASSEPORT de l’élève 7
7 Student PASSPORT
2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014
J’aimerais tant que les gens sachent que tout est possible si on essaie. Les
Circle the year in which the activity or project was completed: rêves deviennent réalité lorsque les gens s’y mettent.
Terry Fox, héros canadien
Date: ___________________________
Place sticker here Ce que ça m’a apporté :
________________________________
____________________________________________________________
Signature of person in charge:
____________________________________________________________
____________________________________________________________
____________________________________________________________
Name of person in charge:
____________________________________________________________
____________________________________________________________
____________________________________________________________
Organization or institution:
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
Organisme ou établissement :
____________________________________________________________
____________________________________________________________
____________________________________________________________
Nom de la personne responsable :
____________________________________________________________
____________________________________________________________
____________________________________________________________
Signature de la personne responsable :
____________________________________________________________
________________________________
What I gained from the activity or project: autocollant
Date : ___________________________
Terry Fox, Canadian hero
are made if people try. Entourez l’année de réalisation du projet :
2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014
I just wish people would realize that anything’s possible if you try. Dreams
PASSEPORT de l’élève 7
 Student PASSPORT 8
Nom de l’activité et/ou du projet
____________________________________________________________ ____________________________________________________________
____________________________________________________________
Date(s) de réalisation de l’activité et/ou du projet : ____________________
____________________________________________________________
Valeurs transmises par l’activité et/ou le projet
❍ Écologie ❍ Pacifisme ❍ Solidarité ❍ Démocratie ____________________________________________________________
____________________________________________________________
Description de l’activité et/ou du projet et de ses retombées :
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
Description of the activity or project and its results:
____________________________________________________________
____________________________________________________________
❍ Solidarity ❍ Environment ❍ Democracy ❍ Peace
Values fostered by the activity or project
____________________________________________________________
Date(s) the activity or project was carried out: _______________________
____________________________________________________________
____________________________________________________________ ____________________________________________________________
Name of the activity or project
8 PASSEPORT de l’élève
Student PASSPORT 8
Nom de l’activité et/ou du projet
____________________________________________________________ ____________________________________________________________
____________________________________________________________
Date(s) de réalisation de l’activité et/ou du projet : ____________________
____________________________________________________________
Valeurs transmises par l’activité et/ou le projet
❍ Écologie ❍ Pacifisme ❍ Solidarité ❍ Démocratie ____________________________________________________________
____________________________________________________________
Description de l’activité et/ou du projet et de ses retombées :
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
Description of the activity or project and its results:
____________________________________________________________
____________________________________________________________
❍ Solidarity ❍ Environment ❍ Democracy ❍ Peace
Values fostered by the activity or project
____________________________________________________________
Date(s) the activity or project was carried out: _______________________
____________________________________________________________
____________________________________________________________ ____________________________________________________________
Name of the activity or project
8 PASSEPORT de l’élève
9 PASSEPORT de l’élève

2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014

Be the change you want to see in the world.
Entourez l’année de réalisation du projet : Mahatma Gandhi, political and spiritual leader

Date : ___________________________
autocollant What I gained from the activity or project:
________________________________
____________________________________________________________
Signature de la personne responsable :
____________________________________________________________
____________________________________________________________
____________________________________________________________
Nom de la personne responsable :
____________________________________________________________
____________________________________________________________
____________________________________________________________
Organisme ou établissement :
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
Organization or institution:
____________________________________________________________
____________________________________________________________
____________________________________________________________
Name of person in charge:
____________________________________________________________
____________________________________________________________
____________________________________________________________
Signature of person in charge:
____________________________________________________________
________________________________
Ce que ça m’a apporté : Place sticker here
Date: ___________________________

Mahatma Gandhi, chef politique et spirituel Circle the year in which the activity or project was completed:
2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014
Incarnez vous-même le changement que vous désirez voir dans le monde.
Student PASSPORT 9

9 PASSEPORT de l’élève

2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014

Be the change you want to see in the world.
Entourez l’année de réalisation du projet : Mahatma Gandhi, political and spiritual leader

Date : ___________________________
autocollant What I gained from the activity or project:
________________________________
____________________________________________________________
Signature de la personne responsable :
____________________________________________________________
____________________________________________________________
____________________________________________________________
Nom de la personne responsable :
____________________________________________________________
____________________________________________________________
____________________________________________________________
Organisme ou établissement :
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
Organization or institution:
____________________________________________________________
____________________________________________________________
____________________________________________________________
Name of person in charge:
____________________________________________________________
____________________________________________________________
____________________________________________________________
Signature of person in charge:
____________________________________________________________
________________________________
Ce que ça m’a apporté : Place sticker here
Date: ___________________________

Mahatma Gandhi, chef politique et spirituel Circle the year in which the activity or project was completed:
2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014
Incarnez vous-même le changement que vous désirez voir dans le monde.
Student PASSPORT 9
 Student PASSPORT 10
Nom de l’activité et/ou du projet
____________________________________________________________ ____________________________________________________________
____________________________________________________________
Date(s) de réalisation de l’activité et/ou du projet : ____________________
____________________________________________________________
Valeurs transmises par l’activité et/ou le projet
❍ Écologie ❍ Pacifisme ❍ Solidarité ❍ Démocratie ____________________________________________________________
____________________________________________________________
Description de l’activité et/ou du projet et de ses retombées :
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
Description of the activity or project and its results:
____________________________________________________________
____________________________________________________________
❍ Solidarity ❍ Environment ❍ Democracy ❍ Peace
Values fostered by the activity or project
____________________________________________________________
Date(s) the activity or project was carried out: _______________________
____________________________________________________________
____________________________________________________________ ____________________________________________________________
Name of the activity or project
10 PASSEPORT de l’élève
Student PASSPORT 10
Nom de l’activité et/ou du projet
____________________________________________________________ ____________________________________________________________
____________________________________________________________
Date(s) de réalisation de l’activité et/ou du projet : ____________________
____________________________________________________________
Valeurs transmises par l’activité et/ou le projet
❍ Écologie ❍ Pacifisme ❍ Solidarité ❍ Démocratie ____________________________________________________________
____________________________________________________________
Description de l’activité et/ou du projet et de ses retombées :
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
Description of the activity or project and its results:
____________________________________________________________
____________________________________________________________
❍ Solidarity ❍ Environment ❍ Democracy ❍ Peace
Values fostered by the activity or project
____________________________________________________________
Date(s) the activity or project was carried out: _______________________
____________________________________________________________
____________________________________________________________ ____________________________________________________________
Name of the activity or project
10 PASSEPORT de l’élève
11 PASSEPORT de l’élève

2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014

Never doubt that a small group of thoughtful citizens can change the
Entourez l’année de réalisation du projet : world. Indeed, it’s the only thing that ever has.
Margaret Mead, American anthropologist
Date : ___________________________
autocollant What I gained from the activity or project:
________________________________
____________________________________________________________
Signature de la personne responsable :
____________________________________________________________
____________________________________________________________
____________________________________________________________
Nom de la personne responsable :
____________________________________________________________
____________________________________________________________
____________________________________________________________
Organisme ou établissement :
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
Organization or institution:
____________________________________________________________
____________________________________________________________
____________________________________________________________
Name of person in charge:
____________________________________________________________
____________________________________________________________
____________________________________________________________
Signature of person in charge:
____________________________________________________________
________________________________
Ce que ça m’a apporté : Place sticker here
Date: ___________________________
Margaret Mead, anthropologue américaine
changer le monde. En fait, ce sont les seuls qui y soient parvenus. Circle the year in which the activity or project was completed:
2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014
Ne doutez jamais qu’un petit nombre de gens réfléchis et engagés ne puisse
Student PASSPORT 11

11 PASSEPORT de l’élève

2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014

Never doubt that a small group of thoughtful citizens can change the
Entourez l’année de réalisation du projet : world. Indeed, it’s the only thing that ever has.
Margaret Mead, American anthropologist
Date : ___________________________
autocollant What I gained from the activity or project:
________________________________
____________________________________________________________
Signature de la personne responsable :
____________________________________________________________
____________________________________________________________
____________________________________________________________
Nom de la personne responsable :
____________________________________________________________
____________________________________________________________
____________________________________________________________
Organisme ou établissement :
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
Organization or institution:
____________________________________________________________
____________________________________________________________
____________________________________________________________
Name of person in charge:
____________________________________________________________
____________________________________________________________
____________________________________________________________
Signature of person in charge:
____________________________________________________________
________________________________
Ce que ça m’a apporté : Place sticker here
Date: ___________________________
Margaret Mead, anthropologue américaine
changer le monde. En fait, ce sont les seuls qui y soient parvenus. Circle the year in which the activity or project was completed:
2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014
Ne doutez jamais qu’un petit nombre de gens réfléchis et engagés ne puisse
Student PASSPORT 11
 Student PASSPORT 12
Nom de l’activité et/ou du projet
____________________________________________________________ ____________________________________________________________
____________________________________________________________
Date(s) de réalisation de l’activité et/ou du projet : ____________________
____________________________________________________________
Valeurs transmises par l’activité et/ou le projet
❍ Écologie ❍ Pacifisme ❍ Solidarité ❍ Démocratie ____________________________________________________________
____________________________________________________________
Description de l’activité et/ou du projet et de ses retombées :
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
Description of the activity or project and its results:
____________________________________________________________
____________________________________________________________
❍ Solidarity ❍ Environment ❍ Democracy ❍ Peace
Values fostered by the activity or project
____________________________________________________________
Date(s) the activity or project was carried out: _______________________
____________________________________________________________
____________________________________________________________ ____________________________________________________________
Name of the activity or project
12 PASSEPORT de l’élève
Student PASSPORT 12
Nom de l’activité et/ou du projet
____________________________________________________________ ____________________________________________________________
____________________________________________________________
Date(s) de réalisation de l’activité et/ou du projet : ____________________
____________________________________________________________
Valeurs transmises par l’activité et/ou le projet
❍ Écologie ❍ Pacifisme ❍ Solidarité ❍ Démocratie ____________________________________________________________
____________________________________________________________
Description de l’activité et/ou du projet et de ses retombées :
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
Description of the activity or project and its results:
____________________________________________________________
____________________________________________________________
❍ Solidarity ❍ Environment ❍ Democracy ❍ Peace
Values fostered by the activity or project
____________________________________________________________
Date(s) the activity or project was carried out: _______________________
____________________________________________________________
____________________________________________________________ ____________________________________________________________
Name of the activity or project
12 PASSEPORT de l’élève
13 Student PASSPORT
2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014
Aujourd’hui, plus que jamais auparavant, la vie doit être marquée par un sens
Circle the year in which the activity or project was completed: universel des responsabilités non seulement entre nations et entre personnes, mais
aussi entre les personnes et les autres formes de vie. Dalaï-lama, guide spirituel
Date: ___________________________
Place sticker here Ce que ça m’a apporté :
________________________________
____________________________________________________________
Signature of person in charge:
____________________________________________________________
____________________________________________________________
____________________________________________________________
Name of person in charge:
____________________________________________________________
____________________________________________________________
____________________________________________________________
Organization or institution:
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
Organisme ou établissement :
____________________________________________________________
____________________________________________________________
____________________________________________________________
Nom de la personne responsable :
____________________________________________________________
____________________________________________________________
____________________________________________________________
Signature de la personne responsable :
____________________________________________________________
________________________________
What I gained from the activity or project: autocollant
Date : ___________________________
also human to other forms of life. Dalai Lama, spiritual teacher
universal responsibility, not only nation to nation and human to human, but Entourez l’année de réalisation du projet :
2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014
Today, more than ever before, life must be characterized by a sense of
PASSEPORT de l’élève 13
13 Student PASSPORT
2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014
Aujourd’hui, plus que jamais auparavant, la vie doit être marquée par un sens
Circle the year in which the activity or project was completed: universel des responsabilités non seulement entre nations et entre personnes, mais
aussi entre les personnes et les autres formes de vie. Dalaï-lama, guide spirituel
Date: ___________________________
Place sticker here Ce que ça m’a apporté :
________________________________
____________________________________________________________
Signature of person in charge:
____________________________________________________________
____________________________________________________________
____________________________________________________________
Name of person in charge:
____________________________________________________________
____________________________________________________________
____________________________________________________________
Organization or institution:
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
Organisme ou établissement :
____________________________________________________________
____________________________________________________________
____________________________________________________________
Nom de la personne responsable :
____________________________________________________________
____________________________________________________________
____________________________________________________________
Signature de la personne responsable :
____________________________________________________________
________________________________
What I gained from the activity or project: autocollant
Date : ___________________________
also human to other forms of life. Dalai Lama, spiritual teacher
universal responsibility, not only nation to nation and human to human, but Entourez l’année de réalisation du projet :
2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014
Today, more than ever before, life must be characterized by a sense of
PASSEPORT de l’élève 13
 Student PASSPORT 14
Nom de l’activité et/ou du projet
____________________________________________________________ ____________________________________________________________
____________________________________________________________
Date(s) de réalisation de l’activité et/ou du projet : ____________________
____________________________________________________________
Valeurs transmises par l’activité et/ou le projet
❍ Écologie ❍ Pacifisme ❍ Solidarité ❍ Démocratie ____________________________________________________________
____________________________________________________________
Description de l’activité et/ou du projet et de ses retombées :
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
Description of the activity or project and its results:
____________________________________________________________
____________________________________________________________
❍ Solidarity ❍ Environment ❍ Democracy ❍ Peace
Values fostered by the activity or project
____________________________________________________________
Date(s) the activity or project was carried out: _______________________
____________________________________________________________
____________________________________________________________ ____________________________________________________________
Name of the activity or project
14 PASSEPORT de l’élève
Student PASSPORT 14
Nom de l’activité et/ou du projet
____________________________________________________________ ____________________________________________________________
____________________________________________________________
Date(s) de réalisation de l’activité et/ou du projet : ____________________
____________________________________________________________
Valeurs transmises par l’activité et/ou le projet
❍ Écologie ❍ Pacifisme ❍ Solidarité ❍ Démocratie ____________________________________________________________
____________________________________________________________
Description de l’activité et/ou du projet et de ses retombées :
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
Description of the activity or project and its results:
____________________________________________________________
____________________________________________________________
❍ Solidarity ❍ Environment ❍ Democracy ❍ Peace
Values fostered by the activity or project
____________________________________________________________
Date(s) the activity or project was carried out: _______________________
____________________________________________________________
____________________________________________________________ ____________________________________________________________
Name of the activity or project
14 PASSEPORT de l’élève
15 PASSEPORT de l’élève

2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014

The future depends largely on decisions made today and tomorrow. Let's
Entourez l’année de réalisation du projet : take matters in our own hands!
Hubert Reeves, Canadian astrophysicist
Date : ___________________________
autocollant What I gained from the activity or project:
________________________________
____________________________________________________________
Signature de la personne responsable :
____________________________________________________________
____________________________________________________________
____________________________________________________________
Nom de la personne responsable :
____________________________________________________________
____________________________________________________________
____________________________________________________________
Organisme ou établissement :
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
Organization or institution:
____________________________________________________________
____________________________________________________________
____________________________________________________________
Name of person in charge:
____________________________________________________________
____________________________________________________________
____________________________________________________________
Signature of person in charge:
____________________________________________________________
________________________________
Ce que ça m’a apporté : Place sticker here
Date: ___________________________
Hubert Reeves, astrophysicien canadien
Prenons les choses en main! Circle the year in which the activity or project was completed:
2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014
L’avenir dépend largement des décisions prises aujourd’hui et demain.
Student PASSPORT 15

15 PASSEPORT de l’élève

2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014

The future depends largely on decisions made today and tomorrow. Let's
Entourez l’année de réalisation du projet : take matters in our own hands!
Hubert Reeves, Canadian astrophysicist
Date : ___________________________
autocollant What I gained from the activity or project:
________________________________
____________________________________________________________
Signature de la personne responsable :
____________________________________________________________
____________________________________________________________
____________________________________________________________
Nom de la personne responsable :
____________________________________________________________
____________________________________________________________
____________________________________________________________
Organisme ou établissement :
____________________________________________________________
____________________________________________________________
____________________________________________________________
____________________________________________________________
Organization or institution:
____________________________________________________________
____________________________________________________________
____________________________________________________________
Name of person in charge:
____________________________________________________________
____________________________________________________________
____________________________________________________________
Signature of person in charge:
____________________________________________________________
________________________________
Ce que ça m’a apporté : Place sticker here
Date: ___________________________
Hubert Reeves, astrophysicien canadien
Prenons les choses en main! Circle the year in which the activity or project was completed:
2007 | 2008 | 2009 | 2010 | 2011 | 2012 | 2013 | 2014
L’avenir dépend largement des décisions prises aujourd’hui et demain.
Student PASSPORT 15

Conservez précieusement ce passeport.
• Il permet de prouver votre implication et l’expérience que vous en
avez retirée.
• Il constitue un souvenir de votre engagement. Il peut être intéres-
sant d’enrichir ce passeport de photos ou d’autres objets-souvenirs.
L’atelier québécois « S’investir dans nos communautés…en citoyennes
et citoyens du monde » a été conçu en 2005 par Jean Robitaille.
Après étude, il a reçu la sanction des membres des Établissements
verts Brundtland (EVB) et de la Centrale des syndicats du Québec
(CSQ). En 2006, la Fédération canadienne des enseignantes et des
enseignants (FCE) s’est dite désireuse de collaborer avec la CSQ à
l’élaboration d’une version bilingue nationale de ce précieux atelier.
Le Passeport de l’élève est l’un des trois documents de l’atelier.
La FCE tient à remercier « Ma rue verte », un programme d'éducation
relative à l'environnement pour un avenir viable qui est financé par la
Fondation J.W. McConnell, pour son soutien financier, et l'Initiative
Le monde en classe, de l'Agence canadienne de développement inter-
national, pour sa contribution financière.
Note au personnel enseignant :
On peut se procurer le Passeport à l’adresse suivante :
Fédération canadienne des enseignantes et des enseignants
2490, promenade Don Reid
Ottawa (Ontario) K1H 1E1
info@ctf-fce.ca
www.ctf-fce.ca
16 PASSEPORT de l’élève
Conservez précieusement ce passeport.
• Il permet de prouver votre implication et l’expérience que vous en
avez retirée.
• Il constitue un souvenir de votre engagement. Il peut être intéres-
sant d’enrichir ce passeport de photos ou d’autres objets-souvenirs.
L’atelier québécois « S’investir dans nos communautés…en citoyennes
et citoyens du monde » a été conçu en 2005 par Jean Robitaille.
Après étude, il a reçu la sanction des membres des Établissements
verts Brundtland (EVB) et de la Centrale des syndicats du Québec
(CSQ). En 2006, la Fédération canadienne des enseignantes et des
enseignants (FCE) s’est dite désireuse de collaborer avec la CSQ à
l’élaboration d’une version bilingue nationale de ce précieux atelier.
Le Passeport de l’élève est l’un des trois documents de l’atelier.
La FCE tient à remercier « Ma rue verte », un programme d'éducation
relative à l'environnement pour un avenir viable qui est financé par la
Fondation J.W. McConnell, pour son soutien financier, et l'Initiative
Le monde en classe, de l'Agence canadienne de développement inter-
national, pour sa contribution financière.
Note au personnel enseignant :
On peut se procurer le Passeport à l’adresse suivante :
Fédération canadienne des enseignantes et des enseignants
2490, promenade Don Reid
Ottawa (Ontario) K1H 1E1
info@ctf-fce.ca
www.ctf-fce.ca
16 PASSEPORT de l’élève
Student PASSPORT 16
www.ctf-fce.ca
info@ctf-fce.ca
Ottawa, ON, K1H 1E1
2490 Don Reid Drive
Canadian Teachers’ Federation
Passports are available at the:
Note to teachers:
Global Classroom Initiative.
received from the Canadian International Development Agency's
J.W. McConnell Family Foundation, and the financial contribution
environmental learning and sustainability program funded by the
CTF acknowledges the financial support of Green Street, an
the three workshop documents.
gual version of this valuable workshop. The Student Passport is one of
interest in collaborating with the CSQ to develop a national bilin-
(CSQ). In 2006, the Canadian Teachers’ Federation (CTF) expressed
verts Brundtland (EVB) and the Centrale des syndicats du Québec
and received a scholarly review by members of the Établissements
Global Citizens” was initially developed in 2005 by Jean Robitaille,
The Québec-based workshop “Engaging in our Communities as
port with photos and other mementos.
• It is a record of your commitment. You could enhance your pass-
• It documents your involvement and the experience you gained.
Keep this passport in a safe place.
Student PASSPORT 16
www.ctf-fce.ca
info@ctf-fce.ca
Ottawa, ON, K1H 1E1
2490 Don Reid Drive
Canadian Teachers’ Federation
Passports are available at the:
Note to teachers:
Global Classroom Initiative.
received from the Canadian International Development Agency's
J.W. McConnell Family Foundation, and the financial contribution
environmental learning and sustainability program funded by the
CTF acknowledges the financial support of Green Street, an
the three workshop documents.
gual version of this valuable workshop. The Student Passport is one of
interest in collaborating with the CSQ to develop a national bilin-
(CSQ). In 2006, the Canadian Teachers’ Federation (CTF) expressed
verts Brundtland (EVB) and the Centrale des syndicats du Québec
and received a scholarly review by members of the Établissements
Global Citizens” was initially developed in 2005 by Jean Robitaille,
The Québec-based workshop “Engaging in our Communities as
port with photos and other mementos.
• It is a record of your commitment. You could enhance your pass-
• It documents your involvement and the experience you gained.
Keep this passport in a safe place.