Date
What I Did (Describe Your Genuine Act of Service)
Category
1
23 Nov
2
23 Nov
3
23 Nov
4
23 Nov
5
23 Nov
6
23 Nov
7
23 Nov
8
23 Nov
Daily Reflection: Categories: Dining · Spaces · Classmates · Support
One way I helped someone today:
Student Signature / Initial: __________________ Teacher Note: __________________
IPP 2: Pay It Forward · 23 Nov 2026 Page 3 of 12
IPP 2 Pay It Forward | Daily Service Log
Day 3 of 10
Name:
Class:
Service Date
Week 1 Day 2
Date
What I Did (Describe Your Genuine Act of Service)
Category
1
24 Nov
2
24 Nov
3
24 Nov
4
24 Nov
5
24 Nov
6
24 Nov
7
24 Nov
8
24 Nov
Daily Reflection: Categories: Dining · Spaces · Classmates · Support
One way I helped someone today:
Student Signature / Initial: __________________ Teacher Note: __________________
IPP 2: Pay It Forward · 24 Nov 2026 Page 4 of 12
IPP 2 Pay It Forward | Daily Service Log
Day 4 of 10
Name:
Class:
Service Date
Week 1 Day 3
Date
What I Did (Describe Your Genuine Act of Service)
Category
1
25 Nov
2
25 Nov
3
25 Nov
4
25 Nov
5
25 Nov
6
25 Nov
7
25 Nov
8
25 Nov
Daily Reflection: Categories: Dining · Spaces · Classmates · Support
One way I helped someone today:
Student Signature / Initial: __________________ Teacher Note: __________________
IPP 2: Pay It Forward · 25 Nov 2026 Page 5 of 12
IPP 2 Pay It Forward | Daily Service Log
Day 5 of 10
Name:
Class:
Service Date
Week 1 Day 4
Date
What I Did (Describe Your Genuine Act of Service)
Category
1
26 Nov
2
26 Nov
3
26 Nov
4
26 Nov
5
26 Nov
6
26 Nov
7
26 Nov
8
26 Nov
Daily Reflection: Categories: Dining · Spaces · Classmates · Support
One way I helped someone today:
Student Signature / Initial: __________________ Teacher Note: __________________
IPP 2: Pay It Forward · 26 Nov 2026 Page 6 of 12
IPP 2 Pay It Forward | Daily Service Log
Day 6 of 10
Name:
Class:
Service Date
Week 1 Day 5
Date
What I Did (Describe Your Genuine Act of Service)
Category
1
27 Nov
2
27 Nov
3
27 Nov
4
27 Nov
5
27 Nov
6
27 Nov
7
27 Nov
8
27 Nov
Daily Reflection: Categories: Dining · Spaces · Classmates · Support
One way I helped someone today:
Student Signature / Initial: __________________ Teacher Note: __________________
IPP 2: Pay It Forward · 27 Nov 2026 Page 7 of 12
IPP 2 Pay It Forward | Daily Service Log
Day 7 of 10
Name:
Class:
Service Date
Weekend Service
Date
What I Did (Describe Your Genuine Act of Service)
Category
1
28 Nov
2
28 Nov
3
28 Nov
4
28 Nov
5
28 Nov
6
28 Nov
7
28 Nov
8
28 Nov
Daily Reflection: Categories: Dining · Spaces · Classmates · Support
One way I helped someone today:
Student Signature / Initial: __________________ Teacher Note: __________________
IPP 2: Pay It Forward · 28 Nov 2026 Page 8 of 12
IPP 2 Pay It Forward | Daily Service Log
Day 8 of 10
Name:
Class:
Service Date
Weekend Service
Date
What I Did (Describe Your Genuine Act of Service)
Category
1
29 Nov
2
29 Nov
3
29 Nov
4
29 Nov
5
29 Nov
6
29 Nov
7
29 Nov
8
29 Nov
Daily Reflection: Categories: Dining · Spaces · Classmates · Support
One way I helped someone today:
Student Signature / Initial: __________________ Teacher Note: __________________
IPP 2: Pay It Forward · 29 Nov 2026 Page 9 of 12
IPP 2 Pay It Forward | Daily Service Log
Day 9 of 10
Name:
Class:
Service Date
Penultimate Day
Date
What I Did (Describe Your Genuine Act of Service)
Category
1
30 Nov
2
30 Nov
3
30 Nov
4
30 Nov
5
30 Nov
6
30 Nov
7
30 Nov
8
30 Nov
Daily Reflection: Categories: Dining · Spaces · Classmates · Support
One way I helped someone today:
Student Signature / Initial: __________________ Teacher Note: __________________
IPP 2: Pay It Forward · 30 Nov 2026 Page 10 of 12
IPP 2 Pay It Forward | Daily Service Log
Day 10 of 10 · SUBMISSION DAY
Name:
Class:
Final Service Date
Booklet Due Today!
Date
What I Did (Describe Your Genuine Act of Service)
Category
1
1 Dec
2
1 Dec
3
1 Dec
4
1 Dec
5
1 Dec
6
1 Dec
7
1 Dec
8
1 Dec
Final Day Check & Booklet Hand-In: Submit to Class Teacher
Overall reflection on my service:
Student Signature: __________________ Hand in booklet today!
IPP 2: Pay It Forward · 1 Dec 2026 Page 11 of 12
Official Teacher Assessment
Max 9 Points
Student Name
Class / Form
Total Entries Counted
Different Dates Active
1
Count each recorded genuine act of service as one separate entry.
1 pt: 1–10 entries 2 pts: 11–20 entries 3 pts: 21+ entries
Score Awarded
/ 3
2
Count the number of distinct dates on which service is logged.
1 pt: 1–3 different days 2 pts: 4–6 different days 3 pts: 7–10 different days
Score Awarded
/ 3
3
Count different categories: Dining, Shared Spaces, Peers, Support.
1 pt: 1 service category 2 pts: 2–3 different categories 3 pts: 4 categories
Score Awarded
/ 3
Overall Total
Combined: ____ / 9
Class Service Hero Selection:
Each class teacher selects 2 Service Heroes (2 × 13 = 26 heroes).
Nominated as Hero
Teacher Endorsement:
Teacher Signature:
Date Verified:
IPP 2: Pay It Forward · Teacher Evaluation Page Page 12 of 12 (Final Page)
