Personal Project Proposal Form

PERSONAL PROJECT PROPOSAL FORM 2014

Student

Last Name, First Name:

Mailing Address:

Home Phone: Student E-mail:

Parent/Guardian Name(s):

Parent Phone: Parent email:

Supervisor

Supervisor’s Last Name, First Name:

School where he or she teaches:

E-mail (home): Email (school):

Overall Considerations

■ Please make sure your project is one that can be completed no later than October. Also make sure that your project is not so superficial that it can be completed over a short period of time with little effort and action.

■ Once your project has been approved, we will have you prepare a detail plan for your project which includes the major steps and resources required to complete your project and the related timing for those items. Completing this form in as much detail as possible will greatly aid in the completion of your detail plan!

1) What is the specific goal of your personal project?

2) What is the inspiration for your goal?

3) What Global Context is most relevant to your action? Explain.

4) How will you know your project is a success? List your tangible and intangible criteria here.

5) What prior knowledge or skills do you have that will enable you to be successful in this project?

6) What action(s) will you take to achieve your goal?

7) What time commitment do you envision for this project?

a) Investigation and Research

b) Planning

c) Execution of the project

d) Evaluation and writing about the experience

8) Does your project require a presentation?

9) Will your project require fund-raising or use of HHS facilities?

10) Resource checklist. Please complete the attached resource checklist.

Parent Signature

My student has discussed their personal project goal with me, and I am in support of this project.

Parent Name (Printed):

Parent Signature:

Supervisor Signature

I have reviewed this proposal with the student and agree to be his or her supervisor. I feel comfortable serving as support for all this project involves.

Supervisor Name (Printed):

Supervisor Signature:

Student Signature

I understand that although I will receive assistance from others, the work on this Personal Project is to be my own.

Student Name (Printed):

Student Signature:

RESOURCE CHART

Understanding Use of Facilities/Fundraising Contract

I signify with my signature below my understanding of the following about FACILITIES:

• If I require the use of facilities at HHS, I understand that, with my initiative, my supervisor must fill out the facilities request form.

• I understand that the supervisor is not solely responsible for getting that form the main office or to Mr. Jeremiah.

• I understand that the request must be in his office at least 4-6 weeks before my event.

• I understand that no request submitted after September 15 may be honored, resulting in me not getting to do my project, thus losing my opportunity to achieve the MYP Certificate.

• I understand it is my responsibility to keep copies of all paperwork.

• I understand it is my responsibility to shoulder all financial burden required by use of facility after hours, such as custodians or security.

• I understand that all HCPS rules and guidelines must be fulfilled for me to have my event in an HHS facility, or my project may be cancel and I may lose the opportunity to achieve the MYP Certificate.

I signify with my signature below my understanding of the following about fundraising:

• If I do a fundraiser with my project, I am required to follow all the HCPS and HHS rules, regulations and procedures for fundraising or my project may be cancel and I may lose the opportunity to achieve the MYP Certificate.

• The rules, regulations and procedures are but are not limited to

o that I fill out all the request forms, signed by my supervisor, in a timely manner, submitting them to Mr. Millner, HHS AP.

o that I have my supervisor set up an account with Ms. Hill, HHS Book-keeper

o that any ticket sales require prior approval and forms through my supervisor, Mr. Millner, and Ms. Hill

o that all monies collected be deposited through HHS accounting at the earliest possible moment.

o That all requests for checks be submitted by the supervisor in a timely manner but are not the sole responsibility of the supervisor.