Telephone number(s): ………………………………………………………………………..
Address: ……………………………………………………………………….
E-Mail: ……………………………………………………………………….
Date of submission: ……………………………………………………………………….
* List your hobbies, sports, and other activities and interests. Include information about how long you have been doing the activity, your level of competence at it, and your level of commitment:
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
* Have you ever volunteered for a service organization before?
If yes, which one(s), when and for how long:
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
* What are your future plans for higher education and career?
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
* What other interests have you thought of pursuing, but have not followed for one reason or another?
…………………………………………………………………………………………………
…………………………………………………………………………………………………
…………………………………………………………………………………………………
Name of student: ………………..………………………………………………………
Telephone number(s): ………………………………………………………………………..
Address: ……………………………………………………………………….
E-Mail: ……………………………………………………………………….
Date of submission: ……………………………………………………………………….
Type of Activity: C A S
Date of proposed activity: From: …………………………………….. to: …………………………
Estimated number of hours: …………………………………………………………………….....
Sponsoring Organization: ………………………………………………………………………..
Organization's Address: ……………………………………………………………………….
Leader's Name: ……………………………………………………………………….
Leader's Tel.: ………………………………………………………………………..
Why did you choose this activity and what do you expect from this experience?
Briefly state your plan and any goals you wish to achieve during this CAS activity. Explain your motivations. In addition,