Information

Student Portfolio Assembly Instructions

Club Leader/Member Form

Certificate of Participation/Member
This certifies that _____________ (Student Name) is a member of ___________________ (club, team or organization).
In good standing during the __________________________school year.
Advisor: ____________________________

Service-Learning Form

Service Learning Project Participation
________________________________ is compiling a college and career student portfolio of his/her
accomplishments while attending the Tooele Jr.High School. One of the requirements that he/she must
fulfill is to provide documentation from a teacher, administrator or community leader of an instance in
which he/she participated in a service learning project during the current school year.
Once the student has filled out the following information about the service learning project that he/she
was involved with, please verify that all of the information is correct with your contact information and
signature at the end of this document.
Name of the service learning activity: ______________________________________________________
Brief description of the service learning activity (describe who you worked with in the community, what
activity(s) were conducted and how you were involved):
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
How did this activity benefit the community?
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
What were the number of hours that were dedicated to this project? ____________________________
When was this service learning project conducted? ___________________________________________
Name of verifier of service learning project described above: ___________________________________
Contact information (location or phone number): ____________________________________________
________________________________________________ _______________________ 

Community Involvement Form

Community Involvement/Service Project Documentation
Student Name: ______________________________________________________
Describe the kind of service:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Describe the duties you performed during the service:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Adult Advisor, Sponsor or Supervisor _______________________________________________
I certify that the student listed above held the position indicated and successfully demonstrated
leadership qualities while undertaking the duties of that office.
__________________________________________ __________________________
Sponsor/Advisor/Supervisor Date

Career Interview Form

INTERVIEW (Career)
1. Name of person you interviewed ___________________________
2. Suggested questions you could ask:
a. What is the title of your job?
b. How long have you been working at this job?
c. Please give me two or three reasons why you like your job.
d. What kind of training/school do you need to have to get this job?
e. What are the work conditions like?
f. Would you recommend this job to someone else? Why or why not?
3. Please include any other questions or ideas you may have in regards to this
interview and/or job.

Resume Form

My Junior High School Resume
Name: ______________________ School: ______________________
Address: ____________________ Graduation Year: ______________
____________________________ GPA: ____of Last Completed Term
Phone: ______________________ Favorite Subject in School:
Email: ______________________ ____________________________
Paid Work Experience: Computer Programs I Know:
___________________________ ____________________________
___________________________ ____________________________
Volunteer Work Experiences: ____________________________
___________________________ ____________________________
___________________________ Technical Skills I have:
Other Work I have Done: ____________________________
___________________________ ____________________________
___________________________ ____________________________
Hobbies/Non School Activities: Soft Skills I Have:
___________________________ ____________________________
___________________________ ____________________________
___________________________ ____________________________
___________________________ ____________________________
Objective:______________________________________________________
______________________________________________________________

Keys to Success Form

Keys to Success
You must earn at least 25 points in the Keys to Success program. To do this
you will log into Keys to success and complete several activities. Once you
have earned at least 25 points you will need to take a screen shot or take a
picture to show proof of points earned. Please show them to you counselor
and he/she will sign this form verifying you have completed the task.
Student Name ___________________________
Keys to Success
User Name ________________
Password __________________
Signature of Counselor
_______________________________________________ Date _________

Job Shadow Form

Job Shadow Verification Form
Student Name ____________________________________
Where did you work? ____________________________
What career/s did you learn about? ______________________
Did you enjoy the experience? Yes _____ or No _______
Do you think you might want to learn more about the job? Yes ____ or No____
This document certifies that the student above did participate in the Job Shadow
activity during the 7th grade.
Student signature __________________________
Parent Signature ___________________________

Reality Town Form

REALITY TOWN EXPERIENCE
Student Name Date
What was your job?
What did you like or dislike about your job choice?
Did you have to get another job or join the military reserves?
What surprised you the most about your “living expenses”?
Why do you think that it is important to budget money?
What things would you do differently if you were to do this experience again?
What did you like most about Reality Town?

Attendance/Punctuality Form

Punctuality/Attendance Not more than three absences in a term in grades 7th and 8th. Or no more than four tardies in any one term during 7th and 8th grades. Please see your counselor and they will run a report for you.

THS CTE Pathway Form

Tooele Junior High School
CTE Pathway – Tooele High School
Name of the Pathway you chose ________________________________________
List the classes listed under the pathway mentioned above.
________________________________
________________________________
________________________________
________________________________
________________________________
________________________________
________________________________
________________________________
Find one more fact on the http://www.utahcte.org
Describe the new fact you learned______________________________________________
__________________________________________________________________________
__________________________________________________________________________

Job Application Form

Mock Employment Application Print neatly. Use a black or blue pen or pencil. Fill in completely.
PERSONAL INFORMATION
Name ________________________ ________________ Student # _________________
Address ______________ _________ City ______________ State ______ Zip ________
Phone Number ________________________ Email _________________________________
EDUCATION Name of School City Years Completed
Last Elementary School _________________________________________________________
Jr. High School _________________________________________________________
EMPLOYMENT
Date Employed Employer/Company Job Description Reason for Leaving
___________________________________________________________________________
___________________________________________________________________________
REFERENCES (People who would say good things about your work ethics)
Name Job Title Phone Number Years Acquainted
___________________________________________________________________________
___________________________________________________________________________
TALENTS/ HOBBIES/ AWARDS
___________________________________________________________________________
___________________________________________________________________________
Please list the reason you would be a good candidate for this job. (This is the time to sell yourself –
come up with three good abilities you have that an employer would like to see in a future employee)
1. ______________________________________________________________________
2. ______________________________________________________________________
3. ______________________________________________________________________
I certify that the above information is correct and I authorize investigation of all statements contained in
the application. I understand that misrepresentation or omission of facts, is cause for dismissal.
Date ____________________ Applicant’s Signature _______________________________

GPA Form

Academic GPA (grade point average) Please provide a copy of your latest report card or see your counselor and they will run a report for you. You must have at least a 2.5 GPA

Presentation Form

Certificate of
Presentation/Demonstration
This certifies that
Student Name
Presented/Demonstrated in his/her
____________________________________Class_
Date .
Teacher

Writing Sample Form

Writing Sample/Student Reflection Please include in your portfolio a copy of a writing assignment you have completed in any class here at Tooele Junior High School. Also include the date and the class in which you wrote if this information does not appear on the writing assignment you submitted. It should be at least a half page long.

Book Report Form

Read a book of 100 pages or more. You must include a summary of the book you read. The summary must describe the plot. You need to describe two characters in the book with whom you connected. You must explain why you made that connection. The written summary should not be longer than a half page typed and should be included in your portfolio.

Tutor Form

Tutoring Verification Certificate
________________________________ is compiling a college and career student portfolio of his/her
accomplishments while attending the Tooele Jr. High School. One of the requirements that he/she must
fulfill is to provide documentation from a parent of the student that he/she tutored for 4 hours in total.
Please only spend 20-30 minutes at each session.
Once the student has filled out the following information about the tutoring that he/she was involved
with, please verify that all of the information is correct with your signature at the end of this document.
Name of the student who received tutoring: ______________________________________________
How many times did they meet together? ________________________________________________
Where did the tutoring take place? ______________________________________________________
How often did they meet? _____________________________________________________________
Name of the parent of the student receiving the tutoring. ___________________________________
Parent Signature ______________________________________ Date _________________________

Teacher Interview Form

Teacher Interview
Interview a teacher about the college they attended
Some information you may want to ask:
1. What college did you attend?
2. How many years did you attend there?
3. What is your degree?
4. Would you recommend this college to others?
5. What did you like best about this college?
6. Feel free to add more questions that pertain to you specifically.
7. Ask questions like what kind of scholarships do they have.
8. include at least one fact you found interesting about the interview and/or the
college.
Include this copy of your summary in your portfolio.

College Report Form

College Research Paper
Name of College/University ________________________________________________
List ten facts you learned about this college
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Describe why you picked this college. ________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________

College Tour Form

On campus or virtual tour of a college or university
1. Take notes of your tour whether in person or virtual
a. Make notes of application due dates
b. Find out who would be your counselor or academic advisor.
c. What fun things do they offer incoming freshman students?
d. Find out about two groups or activities in which you would like to
join/participate.
e. Why are you interested in this college or university?
f. Include this form in your portfolio.
g. Please have your parent or guardian sign to verify you did a virtual tour
or on campus visit.
Parent signature and Date

Parent Teacher Conference Form

Certificate of Parent/Teacher Conference
The class you visited _________________________________________
Teacher of the class _________________________________________________
Subject of the class _________________________________________________
List one thing you learned while attending this meeting. ______________
__________________________________________________________________
Have your parent/Guardian sign this form verifying that you did attend with them.
Signature ________________________________________ Date ______________

Course Request Form

Course selection Forms for the next year!
Have your counselor check to make sure your form has
been turned in.
Have your counselor sign this page and include it in your
portfolio.
Counselor_______________________________________
Date_________________

Individual/Group CCR Form

Verification of CCR attendance
Circle which CCR you attended Individual or Group
Name of your counselor
List one thing you learned while attending your CCRmeeting.
Have your counselor sign this form verifying that you did attend the CCR meeting.
Signature
Date

Teacher College Form
Colleges/Universities of Ten Teachers
List the Teacher and the college/University they attended.

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