SLE PROPOSAL FORM 

 
❏ Turn this in online on CANVAS. 
❏ You MUST have a total of 15 hours planned out. 
❏ Because this is a plan that is ​subject-to-change​, you are estimating the amount of time 
activities may take and you are estimating the date as well.  
❏ Take a look at the 2​ 018-2019 CMS CALENDAR​ ​before getting started. ​Take the planning 
process seriously​.  
❏ I will not approve this form unless it is filled out in-full. 
 
Directions: Please review the questions below. These questions are meant to help you focus on 
exactly WHAT you will do with your 15 hours. It is your choice whether you fill out the 15 hour plan 
first or answer the questions first. Just make sure this is completed. 
____________________________________________________________________________ 
 
1. Provide the original title of your junior paper.  

2. What was your topic about? What was your position (belief) about the topic. Give pertinent 
details. Explain #2 in a paragraph or less. If you have changed your topic, explain it here. 

3. Explain the overall goal of your efforts by answering these questions: 

a. Describe the community/ies you will focus on. 

b. Where will you go to find these people? 

c. Explain HOW the community will benefit from your SLE. 

d. At the end of your hours, how will YOU know you helped this community? How will 
you measure this? 2-3 sentences. 

4. Will you have a mentor? YES or NO 

**A mentor is optional, but it does get you extra points on your final project grade. You must provide 
evidence of working with a mentor throughout your project, if you choose to have one. 

 
 
 
 
 
 
 Date  Amount  Description of activity   Materials  Evidence of  Name the group you will 
you’ll  of time  needed  performing  impact.  
perform  you’ll  to  activity (Picture,  Then explain how this 
activity  spend on  complete  video, emails,  activity will positively 
activity  activity  etc.)  impact your targeted 
  community. 

Ex.  Ex. 45  Ex. I’m going to choreograph an  Ex. Video,  Ex. My dance  Ex. It will impact t​ eens at MLK 
February  minutes  interpretive dance.  playlist,  teacher will video  Middle -​ where it will be 
27  pen and  me dancing, to help  performed. 
paper, list  me see how  It will positively impact them 
of moves,  everything looks to  because they will be emotionally 
etc.  an audience.  moved by what they see. 

           

Oct. 24  1 hr  I’m going to call the schools  My phone  Have my mom  It will impact me by getting 
  watch and sign  me started with my hours. 
  off. 

  6 hours  Drive up to the school to  Car.  Have my dad  It will impact my view point 
video, interview, or just  phone,  drive me  and better understand the 
experience the environment  paper,  topic 
  notebook 

  2 hours  Create a survey for peoples  Computer  Send everyone  It will impact the community 
opinion  and notes  the survey  by giving their opinion and 
  informing them the benefit of 
  my topic 
 

  4 hrs  Put together a mini video of  Phone,  The video will  It will impact the judges on 
my experience  computer have the evidence  how I did my service and what 
  ,note  i learned from it  
 
 

  2 ½ hrs  Make a poster about my topic  Poster  Have my parents  It will impact the judges with 
  board,  help me put it  the important facts about my 
  notes  together  topic