International Baccalaureate Diploma Programme(IBDP)

Mody School (003914)

LakshmanGarh, Sikar, Rajsthan, India
CAS PROPOSAL FORM
Student Name ___________________________________________________________________
Title of Activity ___________________________________________________________________
Description of Activity ___________________________________________________________________
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Category of Activity (Circle the Activity) C / A / S
Estimated Number of Hours ______________________________________________________
Date of Commencement of Activity ______________________________________________________
Expected End Date of Activity ______________________________________________________
Organization Details (with which you will be associated)
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Supervisor(s): Person who will verify hours
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Contact detail of Supervisor(s) if outside school
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Checklist before beginning this activity:
 Is it a new role or activity for me?
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 Is it a real task I am going to do? Does it have real consequences for me?
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  Does it have real consequences for other people?
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 What will I learn by doing this activity?
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 What things can I reflect on doing this activity?

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Responsibilities of CAS Student

 Be on time and each time when expected

 Do his/her very best all time
 Use initiative
 Notify adult supervisor well in advance if unable to attend.
 Get the CAS log checked by the adult supervisor regularly.

Present the End of Activity Self-Evaluation from to the adult supervisor with the student part completed, several days
before the CAS due date, which is two weeks after the finish of the activity.

Responsibilities of Adult Supervisor

 To be encouraging and supportive of the student’s efforts

 To sign the CAS log at least once a week when presented
 To complete the Adult Supervisor’s portion of the End-Of-Activity Self Evaluation form in a timely manner
once it has been given to you. You are under no obligation to hurry if it is presented late.

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Signature of Student Signature of adult supervisor

Activity approved: YES / NO

CAS coordinator’s comment and signature: ________________________________________________