Assessment Cover Sheet Student’s Name: Student No: Address: Email: Contact Phone: Course/Module/Unit of competency: Name of assessment item: Teacher’s Name: Due date: Declaration: I certify that the attached assessment item is my own original work and it does not involve plagiarism. To the best of my knowledge no part of this task has been copied from any other student’s work or from any source except where referenced. I am aware that Federation Training will impose penalties for plagiarism and unauthorised collusion with other students (for additional detail refer to the Federation Training Plagiarism Policy on the Institute website) Date: Student Signature: Assessment record STAFF USE ONLY Assessor’s comments: _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ Result: (Resubmit necessary) Yes / No Signature (Assessor): _________________________ Date: ________________ Results Codes For individual assessment tasks in a Unit, at every level to Advanced Diploma: Satisfactory S Not yet Satisfactory NYS For overall assessment for unit Competent CM Date: 26 June 2014 Not Yet Competent Certificate IV, Diploma & Advanced Diploma: Distinction Credit Pass Not graded DI CR PA CNG NYC Document No. TL 009 Form 1 Page 1 of 2 Assessment Submission Checklist Note: Your assessment will not be accepted unless all details are complete. ☐ All assessment tasks have been completed. ☐ All sources of other people’s contributions to this assessment are properly referenced in accordance with the Federation Training Plagiarism Policy. ☐ The assessment is typed where this is a requirement (typically Certificate IV and Diploma only) ☐ All of the non-shaded areas of this assessment cover sheet have been completed. ☐ This cover sheet is stapled to the assessment or accompanies an electronic file ☐ If submitting a paper copy, the work is stapled and has been placed in an A4 ‘manilla’ folder, envelope or plastic pocket. ☐ A back-up copy of this assessment (photocopy or digital) has been kept. Student to complete details in this section. Staff member will sign and date then detach and return as a record for the student. ……………………………………………………………………………………………………………….…………………………………………. Receipt Student's name: Student No: Course/Module/Unit of competency: Name of assessment item: STAFF TO COMPLETE PRIOR TO DETACHING Teachers Name: ___________________________ Due date: ____________ Date Received: Received by: _________________________ Date: 26 June 2014 __________ Signature: ________________________________________ Document No. TL 009 Form 1 Page 2 of 2
© Copyright 2024