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MYP SERVICE – IB at Lamar Academy – 1270 ☐ Curriculum-Related
ACTIVITY EVALUATION FORM ☐ Non Curriculum-Related
____ Hours (for resume use)
This form should be submitted for every Service Activity.
Student Name: _______________________________________________________ Date: __________________________
Activity Name: ___________________________________________________________________________________________
Supervisor Name (printed): _________________________________________________________________________________
Supervisor Signature: ______________________________________________________________________________________
Activity Reflection:
Outcome(s) met: (circle all that
apply for this activity) Explanation of how this activity helped you accomplish the outcome(s) circled.
1. Increase awareness of
strengths and areas
for growth.
(How did the activity help you become more aware of your strengths/weaknesses?)
2. Undertake new
challenges.
(How did the activity help you to try something you’ve never done before?)
3. Plan and initiate
activities.
(How were you able to discuss, evaluate, or plan an activity that you or other students initiated?)
4. Work collaboratively
with others.
(How did the activity help you to work collaboratively with others to achieve a goal?)
5. Show perseverance
and commitment.
(How did you show long term commitment to a service – think about something like tutoring, coaching
a youth group or helping with Sunday school.)
6. Engage with global
issues.
(How did you become involved with an issue that extends to other countries, or involves other
languages, or helped you to develop an understanding of another culture?)
7. Consider ethical
implications of
actions.
(How did your actions reflect behavior that is moral, just, or honest?)
What did you do?
What type of activity
was this?
Check one.ð
School sponsored
activity
Community
Activity
Global Issue
Activity
Challenge or
New Activity
What authentic [real,
genuine] need(s) did
you meet by
undertaking this
activity? What is the
“real world”
connection and how
did this activity benefit
others?
(By genuine need, this question is referring to something concrete that benefits others. For example, if you are
donating to a canned food drive, think about the purpose of the drive – to feed people who might come to food
bank looking for donations.)
What did you learn
through this activity
(values, abilities,
attitudes, etc.)?
If this activity was
connected to a unit of
study, explain the
connection to the unit.
☐ Curriculum-Related
** (Your teachers will tell you if an activity is curriculum-related. It will be initiated by the teacher or students,
arising from a unit of study and will involve the entire class. You need 3 of these (total) for 9th & 10th grades.)
Explain how this
activity was connected
or related to a specific
global context.
Circle only one
context.
Identities and
Relationships
(Read the full descriptions on the IB Global Contexts sheet and determine the best fit.)
Orientation in
time and space
Personal and
cultural
expression
Scientific and
technical
innovation
Globalization &
Sustainability
Fairness and
Development
     
 
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