Ib Cas Log Sheet Page 2

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IB CAS Reflection Form
Candidate name: _____________________________________________________________Year of Graduation ________________
Name of Activity: _____________________________________________________________________________________________
Date the activity began: ________________________________
Date the activity ended: ______________________________
Total # of hours: ______________.
How many of these hours were creativity __________, action __________, service __________?
(An activity may cover one or more categories, but you cannot count hours more than once.)
What did you do during this activity? ______________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
Directions: Please place a check ( ) by each of the learning outcomes you achieved during this activity and use the box to the right of
the check to explain how this learning outcome was achieved. (Not all learning outcomes will be achieved for each activity.)
Learning outcome
Achieved
Explain how the learning outcome was achieved through this activity.
Increased their awareness
of their own strengths and
areas for growth
Undertaken new
challenges
Planned and initiated
activities
Worked collaboratively
with others
Shown perseverance and
commitment in their
activities
Engaged with issues of
global importance
Considered the ethical
implications of their actions
Developed new skills
Candidate’s Signature: ____________________________________________________
Date: _______________________
Parent's Signature:________________________________________________________
Date:________________________

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