Impact Programme Handbook

Appendix D Service Reflection Form – Template

To be awarded the hours for your service please submit this form, prior to the Semester examination period, by email to your Head of House (Years 7 to 10) or by Week 5, Terms Two and Four, to your classroom teacher (Year 6). Student Name: ________________________________ Tutor Group/class: ______________ Date: ___________________ Number of hours: ________ Type of activity: ____________________________________________ 1. Summarise what you did in this activity and how it benefited others. What did you see and hear? ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ 2. What did you learn about yourself and others through this activity/ project? How do you feel? ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ 3. How can you apply what you have learned to different situations? ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________

Page 30

Somerset College Impact Handbook 2019