Ada Merritt K-8 Center

MIDDLE YEARS PROGRAMME

A Nurturing Community of Learners

Service and Action Form
1. All students are required to complete this form for Service activities.
2. Provide all required information below.
3. Hand in your completed form to your Service and Action Leader, Ms. Fletcher, or to Ms.
Clark.
4. Log your service hours in your Student Agenda Service Log.
5. Place you Service Log in your IB Portfolio at the end of the year.
6. Activities outside of school must be pre-approved by your Service and Action Leaders.

Student Name: Briana Martinez

Name of Activity: Anti bullying campaign

Location of Activity: 6th,7th, and 8th grade Design Classes

March

Date(s) of Activity: January -

Number of Hours Completed: 15

For Activities outside of school:
Supervisors Name: _________________________

Telephone: ____________________________

Organization: ______________________________

Supervisors Signature: __________________

*Activity Approved by: ______________________

Signature:__________________________

After completing your Service Activity, reflect upon its impact on yourself and on the community. Provide
your answers and comments on the back of this page:
1.
2.
3.
4.
5.

Describe the activity. Explain your role and responsibilities

Why did you choose this activity?
What impact did it have on the person(s), group, organization that you helped?
Which IB Learner Profiles did you develop/reinforce during this activity?
Which ATL skills did you develop/reinforce during this activity?

Rate your performance during this activity by checking the appropriate box.
Performance Factor
I was punctual.
I completed my work on time.
I was reliable.
I assumed responsibility.
I used my time effectively.
I listened to and encouraged others.
I followed directions.

Excellent

Satisfactory

Needs Improvement

Ada Merritt K-8 Center

MIDDLE YEARS PROGRAMME

As we began in September, I have been doing my best to take action during school and spread awareness
about my organization. I have handed out bracelets, colors of blue, the color of anti-bullying and talked
about it with the students pertaining to the 6th, 7th , and 8th grades. I have presented information to them
describing what my goal is, and showing them why this is a growing problem in America. I was the
mentor of these students, I answered any questions they had and helped them understand my project.
I choose this activity because I know that this is an ongoing problem. Educating students about this is the
best way I could think of to spread awareness. I could not volunteer at the organization because I am not
old enough so I did the next best thing. I called the organization and got information about my project.
It showed the students that bullying is not tolerated in many states or even in our school and it shows that
they can talk to someone if they do not feel comfortable with talking to the school counselor, a teacher, or
even your parents. I developed the way to communicate with my peers to show them how important I
think this problem is. I showed them they have to be understanding and caring. They must be reflective on
what they do every day and be careful and cautious of what they say because it might affect someone more
than it should. I showed them to be more open-minded and have more knowledge on this subject; I myself
had to be a thinker and find a way to help the students be interested in my project by doing mini activities
with all the classes I presented to. I have developed my organization skills and helped myself to stop
procrastinating, and showed myself that this is all about fairness and development, how there can be
consequences to our common humanity and it can sometimes affect how someone feels.