G10ZASACYCLE1EXAMPLE

=__**Community and Service - Record Sheet**__=

__**Name:

Class**__**:**

__**ASA Cycle:**__

**__1st - Project Description__**
__ ** Title of Project : ** __ (TYPE HERE) __** Project Description ** : __ (TYPE HERE) __**ASA Cycle:**__ (TYPE HERE) __** Personal Goals ** : (what do you want to improve about yourself – see learner profile?) __

(TYPE HERE)
 * __**FOR SUPERVISOR ONLY:**__

Project Approved ? **Yes or No** (Delete One)

Name: Wikispaces Usename:

(needed for verification): ||

 __**2nd - Reflection**__

= Rating My Performance: = || 1 || 2 || 3 || || 1 || 2 || 3 || || 1 || 2 || 3 || || 1 || 2 || 3 ||  || ** 10. ** || This project made me curious about an issue or problem || 1 || 2 || 3 || || 1 || 2 || 3 ||  || ** 11. ** || I had to do a variety of different things for this project || 1 || 2 || 3 || || 1 || 2 || 3 ||  || ** 12. ** || This was a new experience for me. || 1 || 2 || 3 || (TYPE HERE)
 * Evaluate below on a scale of 1 (poor) to 3 (excellent) ****. (Delete the numbers that don't apply)**
 * ** 1. ** || I was punctual and reliable || 1 || 2 || 3 ||  || ** 7. ** || I learnt something new
 * ** 2. ** || I used my initiative by doing things without being told || 1 || 2 || 3 ||  || ** 8. ** || I gained an understanding of this community
 * ** 3. ** || I was responsible by completing tasks on time || 1 || 2 || 3 ||  || ** 9. ** || I learned to look at the world in a different way.
 * ** 4. ** || I applied effort to tasks given.
 * ** 5. ** || I showed respect towards those I worked, my supervisor and those I helped
 * ** 6 ** || I listened to and helped others
 * Community Details ** : What have you learnt about the community you served – i.e. the people, their age, what they do, their interests, needs, etc; Explain why you choose this community to serve:


 * Project Evaluation**: How well did you achieve what you set out to do? What worked well, what could be improved?

(TYPE HERE)


 * Personal Goals**: How did serving this community help you, change your attitude/s, helped you to be a better learner (consider the leaner profiles)? What have you learnt about yourself as a result of this project?

(TYPE HERE)
 * General Comments**: Comment to explain any details rated a low or high according to your rating list

(TYPE HERE)

 __**3rd - Advisor's Reflection**__  (To be completed by the adviser)
 * Project Name:** (TYPE HERE)

Students are expected to show commitment to the project. This would involve meeting the advisors expectations by: being punctual & reliable; completing set tasks; helping others using initiative or as directed; taking responsibilities; using time effectively; being respectful; getting involved with those being helped, etc. Failing to meet these expectations could result in the project not being counted as a part of their community & service program. Was this project completed to your satisfaction? **Yes / No**
 * __Student Commitment__**

||  ||   ||   || ||   ||   ||   || ||   ||   ||   || ||   ||   ||   || ||   ||   ||   || ||   ||   ||   ||
 * **Performance // (please tick appropriate rating if applicable) //** || **Below Expectations** || **Meets Expectations** || **Exceeds Expectations** ||
 * Punctuality & reliable
 * Use of initiative: doing things without being told
 * Sense of responsibility – completes set tasks on time
 * Shows effort in work undertaken
 * Shows respect
 * Involvement with people – advisors and those being helped


 * Other Comments:**

(TYPE HERE)


 * Advisor's Name:** (TYPE HERE)
 * Wikispace Username:** (TYPE HERE)