WINTER HOME LEARNING

GRADE - 5

Introduction to Winter Home Learning

Home Learning is an important extension of classroom learning. It helps to cement the ideas that children learn at school helping things
sink in further and expanding their knowledge.
Purpose of Home Learning
Home learning provides a utilitarian educational experience in a comprehensive way. Our constructive purpose of Home Learning is to
provide:
Ÿ Ample practice;
Ÿ Exposure to monitor independent progress;
Ÿ Assistance to parents with qualitative and useful worksheets;
Ÿ Opportunity to fill learning gaps;
Ÿ Growth and development of various functional skills.
Winter Home Learning includes :
a) English, Mathematics and Hindi Assignments (Important)
b) Revision Through Teaching (RTT)

The students are supposed to submit the important task in school.

Name ___________________________________________

Grade ___________________________________________

Section__________________________________________
 HOME LEARNING PROGRAMME
(WINTER BREAK - 2018-19)
GRADE 5

Dear Family,
As a part of your child‟s learning experience during the winter break, please help your child
complete the following. The Winter Home Learning includes English, Mathematics and
Hindi Assignments.
Note: (i) Students can do the assignments in their notebooks.
(ii) The students are required to prepare for the upcoming Revision Through
Teaching (as per the schedule mentioned in the Winter Home Learning)

Name: _________________ Section: _______ Date: _________

ENGLISH ASSIGNMENT (Important)
Q1. Comprehension Check
A book is a written or printed sheet of pages of information. The information may be
related to various subject and topics. The internet world has also introduced
electronic form of books known as e-books.
Today, books are printed almost in all the languages of the world. Earlier, only a few
people would read books. Now, with the spread of education, more and more people
are found reading books. Books are written on all subjects. There are books on
literature, history, geography, mathematics etc. Books can be classified into various
categories like horror, comic, travel, recipe, thriller, politics and general knowledge
etc.
Books are our real friends. They are our guides. We can learn everything from them.
The books contain all the great thoughts of our world and we can learn them by
reading the books. The books help us find answers to our questions. The books never
fail us. Some of the famous authors are Chetan Bhagat, Joseph Murphy, Shakespeare
and Ruskin Bond.
We should read as many books as we can. Famous books like Alice in Wonderland,
Pride and Prejudice, The Little Prince can prove very helpful for kids. But all books
are not good. So we should choose only good books and read them. Our teachers and
parents can help us choose good books.
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 Answer the following questions:
(i) What has the world of internet introduced?
(a) Books
(b) E-books
(c) Magazines
(d) All of them
(ii) Books are written on subjects like-
(a) Literature
(b) History
(c) Geography
(d) All of them
(iii) Name the categories books can be classified into.
(iv) Name some famous authors.
(v) Which books can prove helpful for kids?
Q2. Complete the sentence with the correct tense.
(i) I _______ (watch) a lot of movies recently. (present perfect continuous)
(ii) Look! We _____ (go) to crash. (present continuous)
(iii) After he ______ (complete) his homework, he went out to play. (simple past)
(iv) The sun ______ (set) in the west. (simple present)
(v) I ______ (wake) up so many times at night. ((simple present)
(vi) They ______ (invite) me for sure. (simple present)
(vii) I ______ (give) all my projects till then. (future perfect)
(viii) Radha ______ (sing) the song before you arrived. (past perfect)
(ix) The children ______ (play) tricks on each other for fun. (past continuous)
(x) My brother _______ (donate) a lot of money to charity. (future continuous)
Q3. Reported Speech
(i) Priyanka said, “She's living in Paris for a few months."
(ii) Renu said, “I have not eaten sushi before.”
(iii) Vini said, “I had not travelled by underground before I came to London.”
(iv) My father said, “He can read when he is three.”
(v) Rahul said to Ishmita, “I am going to Chennai to celebrate my success.”
(vi) Son said to Father, “I missed my school bus today.”
(vii) The wife said to her husband, “I do not want to take any chance.”

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 (viii) Mr. Singh said, “What do you think you are doing?”
(ix) Ms. Priya said, “Stop the train!”
(x) “You must stop at the red light” said the traffic police.
Q4. Write a paragraph on “Christmas” OR “New Year.”
Q5. Out of the box
(i) Choose the right word
(a) Inbalance
(b) Disbalance
(c) Imbalance
(d) Unbalance
(ii) Choose the right word
(a) Receeve
(b) Recieve
(c) Receave
(d) Receive
(iii) Complete the proverb “All that glitters is not______”
(a) silver
(b) diamond
(c) gold
(d) glitter
(iv) I helped Kuber because ______ leg was injured.
(a) her
(b) his
(c) him
(d) its
(v) Write the antonym of „blunt‟ and at least three synonyms of „new‟

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MATHEMATICS ASSIGNMENT (Important)

Q1. Convert 40 degree Celsius to Fahrenheit scale.

Q2. Convert 86 degree Fahrenheit to Celsius scale.
Q3. Which is Colder, 32 degree Fahrenheit or 0 degree Celsius?
Q4. Write Roman symbols for the following:
(a) 40
(b) 401
(c) 300
Q5. Write the Hindu Arabic numerals for the following;
(a) CCCV
(b) XCIV
(c) LVI
Q6. Amit surveyed the insects in her yard. In the given chart each picture stands for a
certain amount. Study the chart and answer the questions.

(a) How many ants did she count?

(b) How many more ladybugs did she count than flies?
(c) How many more ladybugs did she count than bees?
(d) How many insects did Amit count?
(e) How many flies did she count?
Q7. Represent the given information in bar graph.

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Q8. Following bar graph shows the number of employees working in each company.
Observe the graph and answer the following questions:

(a) Find the number of employees working in company A and company D.

(b) Find the total number of employees working in all the companies.
(c) How many employees need to be added to the company D to make it equal to
the company C?
(d) How many less employees are there in company A as compared to company
C?
(e) How many more employees are there in company B as compared to company
D?
Q9. Following bar graph shows the sale of shirts in a shop. Observe the graph and
answer the following questions.

(a) Find the total number of shirts sold in the month of June and July.
(b) Find the total number of shirts sold in the month of August and June.
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 (c) In which month the maximum and least number of shirts were sold?
(d) How many more shirts were sold in the month of July over September?
(e) How many more shirts were sold in the month of August over June?
Q10. Add: 58.63 and 36.15
Q11. Bella bought 25.3 metres of red material and 34.68 metres of green material. What
was the total amount of material Bella bought?
Q12. Jacob purchased a book for ` 349.99, a pen for ` 75.75 and a ruler for ` 35.45. How
much money did he spend in all?
Q13. Solve: 752.05 + 713.55 + 1.8
Q14. Subtract 64.67 from 93.56
Q15. Express the following as fractions in their lowest terms.
(a) 10.06
(b) 56.78
(c) 12.65
Q16. A store sells newspaper for ` 2.5 each. Mr. Ben wants to purchase 24 newspapers for
his home. Find the amount he needs to pay.
Q17. What is the product of 8.9 and 6?
Q18. If the cost of one keychain is `14.9. Find the cost of 10 such keychains.

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 fganh
in~;ka’k&1
1. fuEufyf[kr in~;ka’k dks /;kuiwoZd if<+, rFkk iz’uksa ds mRrj Hkh fyf[k,&
Qwyksa ij Hkh] 'kwyksa ij Hkh]
gedks jkg cukuh gSA
fudy iM+s gSa ugha #dsxsaA
djuh vo dqckZuh gSA
gesa ;kn gS viuk xkSjo]
mldh vku fuHkk,axsA
mldh vku fuHkk,axsA
fdruh rkdr bl cktw esa]
vc fQj ls vkt+ekuh gSA

iz’u ¼d½ ^Qwy* vkSj ^'kwy* ls dfo dk D;k rkRi;ZA gS \

¼d½ Qwy vkSj dk¡Vs ¼[k½ lq[k vkSj nq[k
¼x½ lqfo/kk&vlqfo/kk ¼?k½ ekxZ ds iRFkj vkSj Qwy
iz’u ¼[k½ gesa fdldh vku fuHkkuh gS \
¼d½ ns’k dh ¼[k½ vrhr dh
¼x½ xkSjo dh ¼?k½ tku dh

7
iz’u ¼x½ bl dfork dk mi;qDr 'kh"kZd pqudj fyf[k,A
¼d½ djuh vc dqckZuh gS ¼[k½ dqckZuh dh jkg
¼x½ ge gS ns’k ds flikgh ¼?k½ viuh vku
iz’u ¼?k½ in~;ka’k esa ls uqDrk yxk 'kCn <w¡<+dj fyf[k,A
¼d½ dqckZuh ¼[k½ #dsaxs
¼x½ vkt+ekuh ¼?k½ 'kwyksa
iz’u ¼³½ ^jkg* 'kCn dk mfpr i;kZ;okph 'kCn pqudj fyf[k,A
¼d½ iRFkj ¼[k½ iFk
¼x½ jkr ¼?k½ vku

8
 in~;ka’k&2

2. fuEufyf[kr in~;ka’k dks /;kuiwoZd if<+, rFkk iz’uksa ds mRrj Hkh fyf[k,&

dqN Hkh cu] cl dk;j er cu

Bksdj ekj] iVd er ekFkk
rsjh jkg jksdrs ikgu
dqN Hkh cu] cl dk;j er cu
ys&nsdj thuk] D;k thuk\
dc rd xe ds vk¡lw ihuk\
ekuork us rq>dks lhapk
cgk ;qxksa rd [kwu&ilhukA
dqN u djsxk\ fd;k djsxk&
js euq";! Cl dkrj Øanu\
viZ.k dj loZLo euqt dks]
dj u nq"V dks vkRe&leiZ.k
dqN Hkh cu] cl dk;j er cuA

iz’u ¼d½ dfo D;k djus dh izsj.kk ns jgk gS \

¼d½ xe ds vk¡lw ihus dh ¼[k½ vkRe&leiZ.k dh
¼x½ #dkoVksa dks Bksdj ekjus dh ¼?k½ dk;j u cuus dh

9
iz’u ¼[k½ dfo ds vuqlkj fdl izdkj dk thou O;FkZ gS \
¼d½ dqN Hkh cudj thuk ¼[k½ le>kSrkoknh
¼x½ [kwu&ilhuk cgkdj ¼?k½ euq"; dks loZLo
vfiZr djds
iz’u ¼x½ ^dk;j* ls rkRi;Z gS&
¼d½ Mjiksd ¼[k½ le>kSrkoknh
¼x½ dkrj ¼?k½ nq"V
iz’u ¼?k½ ^ikgu* 'kCn dk i;kZ;okph gS&
¼d½ esgeku ¼[k½ iSj
¼x½ iRFkj ¼?k½ ioZr
iz’u ¼³½ ^dqN Hkh cu] cl dk;j er cu*A dfo us D;ksa dgk gS \
¼d½ dqN Hkh cuuk eqf’dy gS ¼[k½ dqN Hkh cuuk cgqr
vklku gS
¼x½ dk;j euq"; vPNk ugha gksrk ¼?k½ dk;j euq"; dk thou

O;FkZ gS

10
 in~;ka’k&3
3. fuEufyf[kr in~;ka’k dks /;kuiwoZd if<+, rFkk iz’uksa ds mRrj Hkh fyf[k,&
lkeus dksgjk ?kuk gS] vkSj eSa lwjt ugha gw¡
D;k blh vglkl esa ftÅ¡ ;k tSlk Hkh gw¡ uUgk&lk
,d fn;k rks gw¡] D;ksa u mlh dh mtkl esa ftÅ¡ \
gj vkus okyk {k.k] eq>s ;gh dgrk gS&
vjs HkbZ] lwjt rks ugha gks rqe vkSj eSa dgrk gw¡&
u lgh lwjt rks ugha gks rqe vkSj eSa dgrk gw¡&
ftruh Hkh gS ykS eq>esa] mls ysdj ft;k rks gw¡A
de&ls&de eSa muesa ls rks ugha] tks pk¡n fny ds cq>k, cSBs gSa]
jkr dks vekol cuk, cSBs gSa]
mM+rs f?kj jgs Fks tks twxuw vk¡xu esa]
mUgsa Hkh eqVfB;ksa esa nck, cSBs gSaA

iz’u ¼d½ fn, ds lkeus gS&

¼i½ dkyh jkr ¼ii½ ?kuk dksgjk
¼iii½ v¡/ksjh jkr ¼iv½ ?kuk v¡/ksjk
iz’u ¼[k½ gj vkus okyk {k.k] fn, ls D;k dgrk gS \
¼i½ rqe uUgsa gksA ¼ii½ rqe panzek ugha gks
¼iii½ rqe izdk’k ugha gksA ¼iv½ rqe lwjt

11
iz’u ¼x½ fn;k ^gj vkus okys {k.k* dks D;k mRrj nsrk gS \
¼i½ eSa viuh ykS ysdj ft;k gw¡A ¼ii½ eSa viuh ped ysdj ft+;k
gw¡A
¼iii½ eSa viuk y{; ysdj ft+;k gw¡A ¼iv½ eSa viuk vfLrRo ysdj
ft+;k gw¡A
iz’u ¼?k½ ^tks pk¡n fny ds cq>k, cSBs gSa*& iafDr n~okjk dfo dk ladsr fdl
izdkj ds O;fDr;ksa dh vksj gS \
¼d½ chekj O;fDr;ksa dh vksj ¼[k½ nqcZy O;fDr;ksa dh vksj
¼x½ mRlkgghu O;fDr;ksa dh vksj ¼?k½ vgadkjh O;fDr;ksa dh vksj
iz’u ¼³½ mi;qZDr iafDr;ksa n~okjk dfo lans’k ns jgk gSa&
¼d½ 'kkafr dks viukus dk ¼[k½ ijksidkj djus dk
¼x½ lPpkbZ ij pyus dk ¼?k½ mRlkg u NksM+us dk

12
 xn~;ka’k&1
4. fuEufyf[kr xn~;ka’k dks /;kuiwoZd if<+, rFkk iz’uksa ds mRrj Hkh fyf[k,&
vkius ns[kk gksxk fd NksVh&NksVh phafV;k¡ b/kj&ls&m/kj fdl rjg O;Lr
?kwerh jgrh gSaA buds jkLrs esa dqN Hkh j[k nks] ;s gj ck/kk dks ikj dj
tk,¡xhA ,d lSdsaM ds fy, Hkh ugha #dsaxh] tSls fdlh t+:jh dke ls tk
jgh gksaA ;s O;Lr phafV;k¡ cfLr;ksa esa jgrh gSa] fcydqy gekjh rjgA ,d
lkekU; cLrh esa yxHkx nks gt+kj phafV;k¡ gksrh gSaA Hkwfe ds uhps xgjkbZ esa
fLFkr phafV;ksa ds ’kgj esa ;s vPNs ukxfjd dh rjg fey&tqydj dke
djrh gSa vkSj ,d&nwljs dh enn djrh gSaA Hkwfe ds uhps lqjax dh Hkk¡fr
xfy;ksa dh ,d Hkwy&HkqyS;k gksrh gS] tks NksVs&NksVs dejksa dh rjg gksrh gSaA
ogk¡ vaMksa ds fy,] cPpksa ds fy,] HkaMkj vkSj lksus ds fy, vyx&vyx
d{k gksrs gSaA phafV;ksa dh cLrh esa ,d jkuh phaVh vFkok ek¡ gksrh gS] tks
vaMs nsrh gSA uj phafV;k¡ dke ugha djrhaA Jfed phafV;k¡ eknk gksrh gSa]
ysfdu vaMs ugha nsrhaA ;s NksVh vkSj ia[kghu gksrh gSaA phaVh ’kgj esa ;s gh
lkjk dke djrh gSaA ;s jkuh phaVh n~okjk fn, x, vaMksa dks mBkdj cPpksa
ds d{k esa ys tkrh gSa vkSj mudh ns[kHkky djrh gSaA dqN phafV;k¡ edku
cukus okyh dkjhxj gksrh gSaA os lqjaxksa vkSj d{kksa dk fuekZ.k o mudh
ejEer djrh gSaA
iz’u ¼d½ uUgha phfV;k¡ dSls jgrh gSa \
iz’u ¼[k½ ,d lkekU; cLrh esa yxHkx fdruh phafV;k¡ jgrh gSa \
iz’u ¼x½ dkSu&lh phfV;k¡ dke ugha djrh \
iz’u ¼?k½ phfV;ksa dh cLrh esa dkSu&dkSu ls d{k gksrs gSa \
iz’u ¼³½ phafV;ksa ls gesa D;k lh[k feyrh gSA

13
 xn~;ka’k&2
5. fuEufyf[kr xn~;ka’k dks /;kuiwoZd if<+, rFkk iz’uksa ds mRrj Hkh fyf[k,&
gekjs iwoZtksa us ;g dYiuk Hkh ugha dh Fkh fd ,d fnu ,slk vk,xk tc
euq"; mM+u [kVksys ij cSB dj vkdk’k esa mM+ ldsxkA ioZrksa dh Å¡pkbZ;ksa
vkSj leqnzksa dh xgjkb;ksa dks ukius dh os dsoy dYiuk gh djrs gksaxsA
vkdk’k esa pedrs pk¡n&lwjt vkSj rkjksa dks ns[k&ns[k dj muds eu esa
vusd iz’u mBrs gksaxsA vkt euq"; vkdk’k esa mM+rk gS] iuMqCch esa cS B
dj leqnz esa Mqcdh yxkrk gSA ?kj cSB Vsyhfot+u ds insZ ij nqfu;k Hkj
dh gypyksa dks ns[krk gSA ufn;ksa ds ikuh ls cuh fctyh mldh ÅtkZ
lac/kh vusd vko’;drkvksa dks iwjk djrh gSA bruk gh ugha vius dneksa
ls euq"; us fgeky; tSls ioZr dh lcls Å¡ph pksVh dks Hkh uki fy;kA
pk¡n ij euq"; vius iSj j[k pqdk gSA ogk¡ ekuo&cfLr;k¡ cukus dh
;kstuk,¡ cukbZ tk jgh gSaA daI;wVj tSls ;a= n~okjk euq"; iyd >idrs gh
gt+kjksa ehy nwj i= Hkst nsrk gSA daI;wVj dk cVu nckrs gh eupkgh
gt+kjksa ehy nwj i= Hkst nsrk gSA daI;wVj dk cVu nckrs gh eupkgh
lwpuk ;k lwpuk,¡ fey tk,¡xhA i<+kbZ ds fy, Hkh daI;wVj oSlk gh ek/;e
iz’u ¼d½ mM+u[kVksyk fdls dgk x;k gS \
iz’u ¼[k½ vkt ekuo dgk¡ cfLr;k¡ cukus dh lksp jgk gS \
iz’u ¼x½ iuMqCch esa cSBdj euq"; dgk¡ tkrk gS \
iz’u ¼?k½ daI;wVj gekjs fy;s dSls mi;ksxh gSaA
iz’u ¼³½ ^i=* 'kCn ds nks i;kZ;okph 'kCn fyf[k,A

14
 xn~;ka’k&3
6. fuEufyf[kr xn~;ka’k dks /;kuiwoZd if<+, rFkk iz’uksa ds mRrj Hkh fyf[k,&
vkt lalkj esa vf/kdrj ns’kksa ds yksx iraxs mM+krs gSaA irax dk tUe phu
esa gqvk FkkA phu ls gksdj irax ,f’k;k ds vU; ns’kksa esa igq¡ph vkSj fQj
/khjs&/khjs lalkj Hkj esa QSy xbZA phu esa ukSosa eghus dk ukSok fnu ^irax
fnol* ds :i esa euk;k tkrk gSA dksfj;k esa yksx o"kZ ds izkjafHkd fnuksa esa
irax mM+krs gSaA FkkbZySaM esa Hkh irax yM+kus dk izpyu gSA vesfjdk esa
yksx cM+s pko ls irax mM+krs gSaA ogk¡ dh nqdkuksa esa izfro"kZ nks vjc ls
vf/kd iraxs fcdrh gSaA dksfj;k] phu] tkiku vkSj eyk;k ds yksx irax
mM+kus esa jk"Vªh; xkSjo dk vuqHko djrs gSaA Hkkjr esa iraxksa dk izpyu
jktkvksa vkSj uokcksa ds ’kkSd ls gqvkA os viuh iraxksa dks ltkus esa ’kku
le>rs FksA pk¡nh ds NksVs&NksVs ?kq¡?k: o fdukjksa ij lksus&pk¡nh dh t+jh
yxok dj os viuh iraxsa ltkrs FksA Hkkjr esa igyk irax laxzgky;
xqtjkr dh jkt/kkuh vgenkckn esa cuk;k x;k gSA blesa fofHkUu jaxksa ,oa
vkdkjksa dh lSdM+ksa iraxsa j[kh gqbZ gSaA Hkkjr esa vkt Hkh edj laØkfr]
clar iapeh o Lora=rk fnol ds volj ij cPps vkSj cM+s ?kj dh Nrksa
,oa eSnkuksa esa cM+s ’kkSd ls iraxsa mM+krs gSaA vkdk’k esa mM+rha ;s lqanj&lqanj
uewuksa okyh jax&fcjaxh iraxsa cgqr vkd"kZd yxrh gSaA
iz’u ¼d½ irax dk tUe fdl ns’k esa gqvk \
iz’u ¼[k½ Hkkjr esa irax laxzgky; dgk¡ cuk;k x;k gS \
iz’u ¼x½ Hkkjr esa fdu&fdu R;ksgkjksa ij irax mM+kbZ tkrh gSa \
iz’u ¼?k½ phu esa ^irax fnol* dc euk;k tkrk gS \
iz’u ¼³½ fdu ns’kksa ds yksx irax mM+kus esa jk"Vªh; xkSjo dk vuqHko djrs gSa \

Office of Academics

15
 REVISION THROUGH TEACHING (RTT Session II)
Dear Parents
Chitkara International School strives to provide it‟s students with a platform to enhance their
knowledge and develop their speaking, reading and writing skills thereby developing their
personality and inculcating confidence in them while delivering a presentation through an
innovative peer group teaching technique, „Revision Through Teaching‟.

Revision Through Teaching (RTT) is a unique teaching concept where Grade 4 students
will teach a topic of their interest to Grade 3 students and so on. This year the RTT Sessions
are bifurcated into two i.e RTT Session I and RTT Session II. This is to facilitate the child
to gauge his/her shortcomings in RTT Session I and then improvise the same in RTT
Session II. The comparisons of both the sessions will be depicted graphically in the Report
Card.
“Revision Through Teaching (RTT) II” for the Session 2018-19 will start from
14th January 2019 to 15th January 2019. Students are required to select the topic
themselves, fill the attached consent form and submit it to their respective class
teachers at the latest by 9th January 2019.
* It is compulsory for all students to give their RTT topic as it will form the part
of their assessment.
INSTRUCTIONS
For the students:
 The student will select the best topic of his/her own choice that he/she is most
comfortable with.
 It is not compulsory for the students to select a subject specific topic. They can
choose any area for presentation. For example, a news report, movie critique, any
experiment or paper reading on social issues etc. The student can relate the topic to a
subject and take the guidance of the specific teacher related to the subject.
 Create different activities to make the lesson more interesting and effective.
 Besides a Power Point Presentation (PPT), other teaching aids such as charts,
pictures, models, flash cards, experiments; new teaching tools like projects, collage
making, mind map, block building, summarization, recall words (memory games),
puzzles, reports and videos related to the topic can be used in the RTT.
 Students can also do ice breaking activities during their presentation.

For the parents:

 Help your child in selecting a topic which the child knows well.
 Guide the child in preparing the lesson to be taught in a very interactive manner.

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  Guide and help the child to make use of interesting teaching aids.
 The feedback to every student will be provided by the teacher so as to ensure error
correction after the RTT is conducted.
 The RTT will be assessed by the teachers and will be part of the Annual Report
Card.

ASSESSMENT CRITERIA:

 Peer group assessment will not be a part of RTT evaluations as it is often biased and
gives inaccurate results; however the general feedback from the students will be
taken.
 The students will be assessed by the teacher on the Presentation of the topic,
Confidence, Interaction, Power Point Presentation, Teaching Aids, Topic
Knowledge and Speaking Skills on a Scale of 1-10.
 The teacher will then plot the assessment values to generate the graph which will be
reflected as RTT Assessment in the Annual Report Card.

REVISION THROUGH TEACHING (RTT) SCHEDULE

 The RTT Session II will start from 14th January 2019, kindly check the schedule
and prepare your child accordingly.
 The schedule for Revision Through Teaching (RTT) Session II is given below:

SCHEDULE FOR REVISION THROUGH TEACHING

Grade 4-8

Date/Day Grade

14th January 2019, Monday Grade 4

15th January 2019, Tuesday Grade 5

14th January 2019, Monday Grade 6

15th January 2019, Tuesday Grade 7

14th January 2019, Monday Grade 8

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 CONSENT FORM

I _______________________________, student of grade ___________ will deliver my

Revision Through Teaching (RTT) Session II on the topic ___________________________

from the subject area ______________________________.

Student‟s signature: _____________________

Parent‟s signature: ______________________

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