TANAUAN INSTITUTE, INC.

#2 J. Gonzales St., Poblacion 4, Tanauan City, Batangas

Senior High School Department

COMMUNITY INITIATIVE REFLECTION FORM

Name of Student: ________________________________

Place of Service: ________________________________
Date of Service: ________________________________
Title of the Activity: ________________________________

Directions: Reflect on your community initiative and answer the following questions.
Make sure to answer each question with two or more sentences.

1. What is the mission or goal of your community initiative?

2. Describe your experience in your community initiative - what you saw, what you
felt, and the interactions you had.

3. Did your community initiative made a difference at the community? Why or why
not?

4. Did the community initiative made an impact to you personally? Yes? No? Explain.

5. Did this community initiative increase your interest in volunteering in the future?
Why?

Students who do not complete their Community Initiative and this Reflection will fail the subject, Community
Engagement, Solidarity, and Citizenship.

Madelle V. Masongsong
Teacher, CESC