KLAMATH UNION HIGH SCHOOL SENIOR PROJECT:
EXTENDED APPLICATION PROJECT PROPOSAL AND TASK
ANALYSIS
(Hours toward the physical project do not begin accumulating until proposal approval.)
Name
Contact Teacher
__ (Example: Mr. Todd)
Date
(Example: September 14, 2013)
Please indicate the category of your proposed project type.
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A 30 hour “hands on” career exploration practicum (15 hours of which can be job
shadowing), completed work log, and reflective paper on the completed work
Work Experience Class (180 hours) with a passing grade, work log, evaluation
and reflective paper
Cadet Teaching Class with a teaching component, class portfolio, work log,
reflective paper, and passing grade
Health Occupations I or II Class with a passing grade, work log, evaluation and
reflective paper
Regular, non-graduation requirement 3-4 credit (30-40 hours) KCC/OIT class
within student area of interest with passing grade, work log, and reflective paper
Passing completion of a KU Internship, with grade, work log, and reflective paper
Detailed Description of Physical Project: READ THIS CAREFULLY!
Typing directly on this form with adequate details and allowing the document to expand as you
go, please use at least four lengthy paragraphs to describe your project. In your first paragraph
completely describe your career interest related to your project. In the second paragraph
include a detailed description of your proposed project and what you want to accomplish (your
project goals). In the third paragraph outline the steps, in timeline form, you will take to
complete the project. Last, explain in detail what you will bring to the oral boards to demonstrate
your “hands on” experience, including possible pieces of evidence (journal, e-mails, receipts,
etc.) which may go in your portfolio under “collection of evidence.” Finally, after you are sure
you have completely addressed all portions, continue to the task analysis and signature portion of
the form. Finish, print, and submit all portions of this proposal by the deadline. Only signatures
should be written by hand.
Start typing here 
Estimated Cost: _______________
If cost is over $50, please describe below how you will be able to meet this expense.
Your estimated hours for completion: _________________
30 minimum hours required; half of these can be shadowing.
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Approximate Start Date:_______________ Approximate Date of Completion: _____________
Your estimate of the “challenge factor”:
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Explanation for your estimate:
Task Analysis for Klamath Union Senior Project (complete this section with your mentor):
Senior’s Name:
Mentor’s Name:
Date of Conference:
Place of Conference:
1. Please begin with a description of your career goals. What do you want to do after
graduation from high school? (This should match up with the career goals indicated in your
PEPS file.)
2. Write a detailed description of the physical project after discussion with mentor.
3. (#3-9 are for the mentor) How challenging to the senior do you think this project will be?
(easy) 1 2 3 4 5 6 7 8 9 10 (very difficult)
Why?
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4. Goal Setting: Please list 2 - 4 goals the senior should plan to achieve by doing this project.
The goals include both project skills and personal life skills the senior will develop.
A.
B.
C.
D.
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
5. Please indicate what background knowledge and/or experience the senior already has with
the project.
6. Please summarize the tasks related to the project that the senior has already finished and so
are not considered part of the project:
7. What materials needed for project completion has the senior already obtained and what
remain to be obtained? Please estimate the cost and availability of any items yet to be
collected.
8. By my estimation this project will take at least _____________ hours to complete (30 hours
is minimum.)
9. Task Analysis:
A. Project tasks and timelines: Please make a list of all tasks the senior must complete in
order to finalize the project. I, the mentor, have included all the steps involved, the time
needed for each task and approximate due dates. (Attach additional sheets if needed.)
Project completion target is mid-April.
Task
Approx. Time to Complete
Complete by
1._________________________________________________________________
2._________________________________________________________________
3._________________________________________________________________
4._________________________________________________________________
5._________________________________________________________________
6._________________________________________________________________
7._________________________________________________________________
8._________________________________________________________________
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9._________________________________________________________________
10.________________________________________________________________
11.________________________________________________________________
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B. Literature Review: Please list any titles and authors of books, articles, videos, manuals,
guides, and/or pamphlets that might be useful as resources for the project.
1. _______________________________________________________________
2.________________________________________________________________
3.________________________________________________________________
4.________________________________________________________________
5.________________________________________________________________
C. Other Resource People: Please list the names and phone numbers of people other than
the mentor the senior could talk to for guidance and/or instruction regarding the project.
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D. Collection of Evidence: Please list potential evidence the student will collect along the
way that will prove he or she has completed my physical project. Examples include work
logs, receipts, e-mails, samples of work, video/pictures (might also be used at oral
boards), parts, tools, etc.
1. ____________________________________________________________________
2. ____________________________________________________________________
3. ____________________________________________________________________
4. ____________________________________________________________________
5. ____________________________________________________________________
6. ____________________________________________________________________
7. ____________________________________________________________________
8. ____________________________________________________________________
9. ____________________________________________________________________
10. ____________________________________________________________________
To the student:
As a senior, I agree to complete all of the work on the physical project as described above. I will
do so in a respectful manner that brings pride to Klamath Union High School, including its staff,
and that follows the rules and behavioral expectations of the school. I realize that if I do not do
all of the above, my physical project could receive an automatic failing grade, therefore
preventing me from passing the Senior Project. I also understand that hours toward the senior
project may not start until the physical project is approved. I have worked through this Task
Analysis with the input and in the presence of my mentor.
Student signature ________________________________ Date __________________
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To the mentor:
As mentor, I agree that the student can complete the project as described above in the task
analysis we completed together. I have read the list of duties for a mentor found on the school
website or provided by my protégé and agree to perform those duties. I will only advise and aid
the student in completing the project; I will not complete the project for the student. I am
reasonably sure that this project will take at least the indicated minimal time to complete and will
be adequately challenging for the student. I will accurately assess the student’s completion of
the project when filling out and signing the mentor evaluation form. I am at least 21 years of age
and not related to the senior.
Printed Name of Mentor ___________________________________________________
Mentor signature _________________________________ Date ___________________
Mentor Information: (Please provide the following background and contact information.)
Career __________________________________________________________________
Company or Organization: __________________________________________________
Work Phone:
Best Time to Call:
_______
Home Phone:
Best Time to Call:
_______
Fax Number:
E-Mail Address:
_______
Home Address:
Work Address:
_______
City, State, Zip:
City, State, Zip:
_______
My background/experience/career that will enable me to help my senior with the project:
__________________________________
To the Parent/Guardian:
As parent/guardian, I support my student’s choice of a Senior Project as described above. I
understand that any costs, injury, etc. accrued through my student’s completion of the project are
not the responsibility of the Klamath Falls City School District or senior project coordinator.
Parent Signature
Date
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SENIOR PROJECT APPROVAL COMMITTEE
(This form is for approving, improving, or denying EA Project Proposals)
Approved
In Progress
Not Approved
Reasons for above conclusion:
______ Project is not clearly career related.
No relatives allowed as interviewee.
Simply observing or shadowing a person performing his/her career is not acceptable.
If the project is associated with a classroom project, it must be at a higher level of
difficulty and effort than required by the teacher for that class.
A student’s project must be challenging for that student and stretch the student beyond
his/her comfort level. Effort to complete this project might be less than appropriate.
No human sexuality/erotic topics accepted.
Project is not, in general, appropriate for an Extended Applications Project.
Specific project not given (in second paragraph of proposal).
Detailed description (size, materials, etc.) not adequate.
Steps in completing project not adequate.
Final Product/Physical demonstration/closure needed to show task completion.
Challenge factor explanation (including previous experience) not adequate.
No parent/student signature given.
Not legibly or clearly written.
______Incorrect formatting, line spacing, font, or section order. Consult handbook or teacher.
______Project does not result in any discernible product or recognizable completion.
______Projects exposing students to any potential danger or illegal activity not allowed.
______Proposed project will not provide adequate hands-on/practical hours
______Student does not appear proficient enough in this area to engage in coaching/teaching.
______Mentor information incomplete or unsatisfactory
Required Changes:
Suggestions for Improvement/Comments:
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