State Seal of Civic Engagement
Student Portal For Forms & Application
Application
Mission
Background
Project Examples
Please complete this form to indicate your endorsement of a SCUSD student’s qualifications for the State Seal of Civic Engagement.
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Your Name
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First
Last
Your Email
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Your Phone Number
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Student Name
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First
Last
Student Email
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Student School
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Please Select From Below
CK McClatchy
JFK
Hiram Johnson
Luther Burbank
Rosemont
West Campus
Cap City
American Legion
SES
The Met
Carver
Health Professions
New Tech
Kit Carson
Other
Relationship to the Student
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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 met the following requirements?
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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 and their project, your observations of how the student met the requirements above, and how you've observed the student's growth from the project.
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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.
Nominate Other Students
You can easily nominate other students who have engaged in the same project to apply for the state seal. Please provide email addresses of these students and we will email them to encourage them to apply.
I am endorsing…
Only the student above
The student above and nominating add’l students where my answers also apply to their involvement
Layout
Additional Student #1 Email
Additional Student #3 Email
Additional Student #2 Email
Additional Student #4 Email
Terms and Agreement
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I understand and agree to the terms.
In checking the box above, you agree and confirm that all answers and reports are true and accurate. If necessary, you acknowledge and consent to further contact by an administrator.
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