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Master Agreement Form

Please fill out the following form in its entirety. It is important that all information be accurate for the success of your overall project. A digital copy of this form will be included as a part of your digital portfolio.

Senior Project Proposal


Student Name Patti Gerth

(TYPE IN THE FOLLOWING INFORMATION.)

Your Cell Phone 678-469-3170

Home Phone 678-445-1938

Address 2009 Towne Lake Hills West, Woodstock GA 30189 Teacher Mr. Wall

E-mail patti.gerth@gmail.com

Directions: You will pitch your proposal in class via PowerPoint or Prezi. The following questions are to be addressed in your presentation. Describe your Product and respond to the following questions in as much detail as possible. All questions must be completed thoroughly to receive approval for your Product and Project. Follow the model on the following page precisely.
1) Describe what you are proposing to do for your Product step-by-step and in detail.

I propose to create a lesson plan for art therapy sessions. I plan on researching the different aspect of art therapy and how exactly art effects emotions and then base a lesson off of this.
2) What is your previous experience in this area of study?

I have no precious experience with art therapy specifically, but I have painted and drawn as a hobby for the past ten years and have always been interested in a carreer in art therapy.
3) How is this Product a learning stretch and challenge for you?

This is a learning stretch because although art is my hobby, I have never research or worked with art therapy.
4) How long do you expect it to take you to complete your Product?

I will have to spend at least two hours researching the different psychological aspects of how art therapy works. I will then have to spend around three hours planning a lesson and discussing it with my facilitator, and finally I will have to present my lesson to a class which will take around an hour.
5) When and where will you work on your Product?

I plan to work on my project at my home twice a week one on one with each patient individually.
6) What are your estimated costs for completing the Product, and how will you fund these costs?

I should only have to spend around fifteen dollars on acrillic paint; I own all the other supplies.
7) Whom have you chosen as your Project Facilitator?

Mrs. Mulvey; she was my art teacher at E.T. Booth and also works as an art therapist.
8) What is this persons expertise in this field?

Master in art education with an emphasis on art education.


9) What steps will you need to take before you begin work on your Product?

I will have to research more the different aspects of art therapy and what exactly my lesson will consist of.
10) What concepts, skills, knowledge, and/or career goals do you hope to attain upon completion of your Product?

I hope to attain a better understanding of the career of an art therapist and how exactly art is able to help people feel better.
11) How will you demonstrate your Product for Presentation at Senior Boards?

I will demonstrate my product by explaining my lesson plan and bringing in some examples of work from patients.

Project Facilitators Role


Read the following statements and sign below to acknowledge that you understand your role as well as that of your Project Facilitator in completing the Product component of your Senior Project. I understand that I have to give my Project Facilitator a copy of the Project Facilitator Agreement Form. I understand that it is my responsibility to present my Project Facilitator with a copy of my Senior Project Approval Form which outlines the projected steps, costs, and timeframe projected for completion of my Product. I understand that my Project Facilitators role is to enable me to create a challenging yet achievable Product. Depending on the nature of my Product, I may meet with him/her on a sustained basis or a periodic basis. If it is a sustained period of time in the form of a series of lessons, I will complete the majority of my 15 hrs. in the presence of my PF. If it is on a periodic basis, I will meet with my PF at specified intervals to acquire the knowledge necessary to complete the Product on my own. I understand that my Project Facilitator will be asked to verify the time I spend on my fieldwork (minimum of fifteen hours) by signing the Product Work Log on the specified due dates. I also understand that my PF must submit the Product Verification Form to my teacher upon completion of my Product confirming it is my work. I understand that my parent/guardian or relative cannot serve as my Project Facilitator and that my PF must be 25 years of age or older. I understand that my PF must be someone who resides locally, whom I can contact easily, so that I may maintain contact with him/her. I understand that my parents/guardians must sign the Senior Project: Parent/Guardian Consent Form endorsing my Project Facilitator and that it must be turned into my teacher by the designated due date.

Project Facilitator Agreement


Facilitators Name (Type in.): Mary Jo MulveyFacilitators Email Address: MaryJo.Mulvey@cherokee.k12.ga.us Address: 402 Bennett Farms Place City, State, Zip: Acworth, GA 30102 Thank you for volunteering your time to serve as a Project Facilitator for a student involved in Senior Project at Etowah High School. This Project offers seniors a real world experience as they journey into a topic of their choice, one that they are passionate about and one that they link to a career. Throughout the year, they must pursue a rigorous, measurable learning stretch, as they complete each of the four components of the Project: a Research Paper, a Product, a Portfolio, and a culminating Presentation in May Senior Boards. Sustained Instruction: The PFs role may be to give sustained instruction in the form of a progression of lessons during which the student might learn how to scuba dive or how to communicate through the use of Sign Language. The instructor becomes the Project Facilitator. In this case, you, the student will meet with your PF on a regular basis in completing most of the 15 required hours. To satisfy the remaining hours required for the learning stretch, you will then decide how to reveal your new skill(s) as a tangible Product. You might create a

demonstration, digital scrapbook, a professionally-bound cookbook, a video, or a digital portfolio, separate from your Senior Project Portfolio.

Periodic Instruction: On the other hand, the PFs role may be to provide you with periodic instruction. If this is the case, you will meet with your PF for step-by-step instruction. However, you complete each task on your own without the PF present. Most of the required 15 hrs. is completed away from the PF, yet the PF still provides the you with the expertise necessary to create a challenging yet achievable Product. Once again, to satisfy the remaining hours required for a rigorous learning stretch, you will then decide how to reveal your new skill(s) as a tangible Product. You might create a demonstration, digital scrapbook, a professionally-bound cookbook, a video, or a digital portfolio, separate from your Senior Project Portfolio.

Fundamentally, the role of the PF is to . . . o enable the student to create a challenging yet achievable tangible Product o guide, encourage, and oversee the students progress o verify the time student spends on his/her fieldwork (minimum of 15 hrs.)

Parent/Guardian Consent
Parent/Guardian Name (Type in.): Molly Gerth Address: 2009 Towne Lake Hills West City, State, Zip: Woodstock, GA 30189 Email Address: m_gerth@bellsouth.net

As the parent/guardian of a senior at Etowah High School, I am aware that my son/daughter is required to successfully complete the Senior Project in addition to their senior year English curriculum. I am also aware that the four components of the Project are the Research Paper, a tangible Product, a comprehensive Portfolio, and a Presentation before a panel of judges from the community and school known as Senior Boards. I understand that the Project selection is student-centered and career-related. I realize the tangible Product that is due the third nine weeks of the school year must relate to the Research Paper and represent a rigorous, definable learning stretch that must reflect a significant body of work. I know that my son/daughter will be signing an Ethical Commitment Form, which I have reviewed (Appendix M). I understand that if my son/daughter plagiarizes any of the three components - prior to Senior Boards - that he/she will have to complete an entirely new Project and submit a Portfolio of the new Project by the date set for Stand and Deliver to begin. Only in this way will he/she become eligible for completion of the fourth component, the Presentation. I understand that the Project Facilitator(s) chosen by my son/daughter. I assume all responsibility for costs and risks inherent in his/her chosen Project. I am aware that these individuals are not endorsed by nor are their credentials screened or reviewed by the Cherokee County School District. Therefore, I understand that it is my responsibility as the parent/guardian to review the qualification and/or licensing of this Project Facilitator prior to giving my consent/endorsement as well as to provide all supervision of my child while working with this individual on his/her Product. Cherokee County School District has not undertaken any background checks on the Project Facilitator. It is the responsibility of each parent to ensure the suitability of the Project Facilitator that you and your student select.

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