International Baccalaureate CAS Forms

Student Name: ___________________________________  Date: ______________
 

Address:  ____________________________________________________________________________

                ____________________________________________________________________________
 

Telephone: (         ) -_________ - _________
 

Graduation Year:: _______________________________

FOR A SERVICE EXPERIENCE ANSWER THE FOLLOWING QUESTIONS:
 

1. When will the activity begin? ________end?_________

     Approximate number of hours per week? ________ total hours? ________

2. Describe your proposed activity:
 
 
 
 
 
 
 
 
 
 
 
 
 
 

3. What is the name of the community organization where you will complete this CAS activity? (Provide the complete address).
 
 
 
 
 
 
 
 
 
 
 
 
 
 

4. What community group will benefit from your participation in this CAS activity?