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SSCE Endorsement FormAdmin2022-10-18T11:18:56-04:00

Please complete this form to indicate your endorsement of a SCUSD student's qualifications for the State Seal of Civic Engagement.

Your Name *

First

Last

Your Email *

Your Phone Number *

Student Name *

First

Last

Student Email *

Student School

Relationship to the Student *

Supervisor
Mentor
Advisor
Peer
Teacher
Other

Please check all that applies. Based on your observations (and your review of the student reflection), has the student above ...

taken measures to develop a deeper understanding of a social, community, and/or environmental problem(s) or issue(s) that is meaningful to them
learned practical skills to acquire multiple perspectives and develop realistic solutions to address the issue in service of the community and/or the common good
taken informed action to engage with decision-makers to advocate to change policy or course of action
demonstrated personal growth from engaging with the community or practicing their civic influence
responded to all prompts for the student reflection

Please provide a brief description of how you know the student, your observations of the student project/activities above, and how you've observed the student's growth from the project.

If you'd like to share anything else, please share it here.

If you have a more comprehensive recommendation for the student, please share it here.

Click or drag a file to this area to upload.

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