My SEWA Promise Form
Dear Student,
SEWA is the first step to prepare you for life. It is a voluntary project experience. You have
to complete My SEWA Promise Form and obtain prior approval for the project/activity.
Selection of a SEWA Activity, development, implementation of the proposal and evaluation
of the activity is the responsibility of each student. Signature of the Parent indicates review
and approval of this proposal.
Student’s Name: ________________________________ Class & Section: ______________
Brief Description of the Activity:
Duration (Days and Time): ______________________ Estimated Hours:______________
Name of Mentor Teacher: ____________________________________________
Student Signature:____________________________ Date: _______________________
Parent Signature :____________________________ Date: _______________________
For further details please refer to the link
http://cbseacademic.nic.in/web_material/Circulars/2018/11_Circular_2018.pdf
SEWA Hourly Schedule(illustrative)
Hour Count Date and Day Proposed Activity Plan
Hour 1
Hour 2
Hour 3
Hour 4
Hour 5
Hour 6
Hour 7
Hour 8
Hour 9
Hour 10
Hour Count Date and Day Proposed Activity Plan
Hour 11
Hour 12
Hour 13
Hour 14
Hour 15
Hour 16
Hour 17
Hour 18
Hour 19
Hour 20
Hour Count Date and Day Proposed Activity Plan
Hour 21
Hour 22
Hour 23
Hour 24
Hour 25
Hour 26
Hour 27
Hour 28
Hour 29
Hour 30
Hour Count Date and Day Proposed Activity Plan
Hour 31
Hour 32
Hour 33
Hour 34
Hour 35
Hour 36
Hour 37
Hour 38
Hour 39
Hour 40
SEWA Hour Log(illustrative)
STUDENT NAME: ___________________________________________
PROJECT: _______________________________________________
Date Activity Hours Mentor’s
Signature
STUDENT NAME :__________________________
Date Activity Hours Mentor’s
Signature
STUDENT NAME :__________________________
Date Activity Hours Mentor’s
Signature
Mentor’s Observation
Attendance: _ ___________________________ __________________________
Involvement: ___________________________ __________________________
Regularity: ___________________________ __________________________
Commitment: ___________________________ __________________________
Additional Comments: ___________________________ _____________________
________________________________________ __________________________
___________________________ ________________________________________
The activity project was (circle appropriate response):
Satisfactorily Completed Not Satisfactorily Completed
_____________________ ______________________
Mentor’s Signature ___________________
Name ____________________________
Seal of School
SEWA Self Appraisal Form
My Name____________________________________________________________________
My Activity / Project___________________________________________________________
My Commitment Towards the Project/ Activity
____________________________________________________________________________
___________________________________________________________________________
This Activity/ Project has been a great learning experience because
___________________________________________________________________________
___________________________________________________________________________
I initially felt that the project could not have achieved its outcomes because
___________________________________________________________________________
___________________________________________________________________________
The project has definitely changed me as a person in terms of behaviour, attitude and life skills
because
___________________________________________________________________________
___________________________________________________________________________
The details of beneficiary(ies). Any significant comment received from them; please quote
___________________________________________________________________________
___________________________________________________________________________
The challenges I faced and the things I might do differently next time so as to improve?
___________________________________________________________________________
___________________________________________________________________________
HEALTH AND ACTIVITY RECORD
GENERAL INFORMATION
Aadhar Card no. of Student (optional)___________________________
NAME: .
ADMISSION NO.: DATE OF BIRTH: .
M F T _____ BLOOD GROUP: .
MOTHER’S NAME: .
YOB WEIGHT HEIGHT _______ BLOOD GROUP_____
AADHAR CARD NO. (optional) _____________________
FATHER’S NAME: .
YOB WEIGHT HEIGHT _______ BLOOD GROUP_____
AADHAR CARD NO. (optional) _____________________
FAMILY MONTHLY INCOME .
ADDRESS ___________________________________ ___________
PHONE NO. (M): .
CWSN, SPECIFY ______________________________________.
SIGNATURE OF PARENTS/ GUARDIAN DATE:
