Service Learning Experience (SLE)

Description/ Approval Form

Student N\ CRJ \{ 0\ \ c\ v),C Date /0 ) 4:-J (
Topic of Service Leaming Experience 1h£ (AD a l.0ro '(Jl-:£j-:
1. What type of SLE will you complete?

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2. What materi~s will you nee~
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3. What expenses do you anticipate?

4. Wbat timeline will you follow to complele thisJ>ro~?

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5. H)ow does Tne SU:' demonstrate agpli~_tion oJr<i§~rch e,q(sy,9thesis q!_Qew kn~wledge?
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6. What artifacts do you plan to use in your portfolio and pr~s,ent to judges? 'o-t Y\\ YI Ol M-t- VY\
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udent Date

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Teacher Date

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Not Approved

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Mentor . __,, Date

CMS Graduation Project 41

Graduation Project
Service Learning Experience
Requirements Checklist

/i . Related to the thesis of the research-based paper

7
_ _2. Is an academic stretch or challenge

/3.Connected to chosen global or community issue

~ - Demonstrates creative problem-solving

--.!s. Implements a variety of sources

~ -Shows evidence of technical skills

/
_ _7. Aesthetically pleasing/ creative

--5. Shows thoughtful use of detail

< Represents a minimum of 15 hours of work

~ -Artifacts include evidence of work Oournal, time log)

~
Student's Signature
tO· l Y,-1 r
Date

CMS Graduation Project 43

 THE GRADUATION PROJECT SERVICE LEAR' IENCELOG

NJ c.O 1'-e 01'\ \GI Ol ~ V'\

Student
Topic °"°°' c<JVV'r )-e;'I..
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English Teacher ( ,. ,
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Mentor "--,--I-,:
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You will keep a record of your work on your Graduation Project SLE on this form. It will help you pace yourself. This is your documentation of the time that you spend
working on your project. This log should be included in your portfolio. If you meet with a mentor, ask your mentor to initial in the DatefTime Spent column.
NOTE: You may choose to maintain a product journal in addition to or in place of the product log.

DatefTime .;,

" Descriotion of What You Did Resources Used Next Step in Plan·:;.t.
,,j, Spent

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CMS Graduation Project 45

 GRADUATION PROJECT PROGRESS CHECK: After Service Leaming
Experience Completion

Student N\ U) \:t CPI )cto,S Date ~/lb//~

Topic of Project U\ 0ci (,0YY\ '¢:eX ¥:£ f W\\ n, \V\@ \J) '90 C)JJ«

What pr~blems did you encounter? How did you resolve them?
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What success have you experienced? .
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What are your next steps to prepare for the presentation?
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English Teacher/academic advisor's Signatu?

English Teacher/academic adviser's comments:
474 Date: I()-/ 4-}8

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Parent's Signature: _ _ _ _ _Date·. _11 -, -) ~
Parent's comments:

Mentors Signawre~ ~ } J ! ; J ! l 2 - , Date: / D~J 4: - l ~

Mentor's comments:

CMS Graduation Project 47

 Self-Evaluation
Service Learning Product

This self-evaluation is intended to help you be aware of your development as you worked through the
service learning process. Your answers should reflect your skill development and your impact on the
community. A summary of your experiences would not be an appropriate response!

How did you solve problems that came up?

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What will you take away from this experience that will help you in the future?
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Advisor/ Mentor: Please answer the following questions, if possible.

How has this student demonstrated growth?

Strengths:

Future Recommendations:

Signature~~ Date~// 8

CMS Graduation Project 49

 Service Learning Experience Evaluation Form
Graduation Project

After you complete your service learning ex erience .

someone with whom you worked or 't : . . ' you m~st obtain at least one evaluation from
portfolio. a s1 e a mm1strator. This evaluation MUST be included in the

Student Name N\ ( 0\-t (~\ a\ OI ~

Service Learning Experience C4 0 d (0 mr~
To the Evaluator: By completing this evaluation . .
and leadership skills of the student d . h . , you attest to having first-hand knowledge of the work
urmg t e1r chosen service learning experience.

This student demo t d h .

experience. (Pleasen:;:t:pe:if~cf:ll;~mguskills/related ~o the completion of the service learning
e a1 s. se N A for skills not demonstrated.)

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Organization:
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