Student Challenge Report Form
Report and evaluate student participation in challenges. Please provide complete and accurate information for each section.
Student Full Name
*
First Name
Last Name
Grade/Class
*
Please Select
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Other
Date of Challenge
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Challenge Title
*
Challenge Type
*
Academic
Sports
Creative/Arts
STEM
Community Service
Other
Describe the Challenge
*
Challenge Outcome
*
Completed Successfully
Partially Completed
Not Completed
Performance Evaluation
*
1
2
3
4
5
Skills Demonstrated
Teamwork
Leadership
Creativity
Problem Solving
Communication
Resilience
Other
Evaluator's Feedback
Recommendations or Next Steps
Self-Assessment by Student (if applicable)
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I gave my best effort
1
2
3
4
5
I learned new skills
6
7
8
9
10
I enjoyed the challenge
11
12
13
14
15
I would participate again
16
17
18
19
20
Submit Report
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