Assessment Cover Sheet

Assessment Cover Sheet
Please attach this sheet to the front of your Assessment/ Homework before submitting for marking
If this form is not signed and filled in appropriately your Assessment/Homework
cannot be marked as ‘Competent’
Students Name
Unit Code
Unit Title
Group No./
Funding Source
Date Unit
Attended
Date
Submitted
Trainers Name
Declaration
1. I have read and understood the Plagiarism and Collusion information in the Student Handbook
2. This assessment is solely the product of my own original work except where acknowledged as coming from another
person or source.
Students Name
Students Signature
Date
Please Note;
1. You must fill in all fields provided
2. Only ONE unit of homework per plastic sleeve
3. Write the unit code and your name on the top right hand corner of loose sheets/ pages of your work
(this ensures it is identified, and returned to you)
TRAINER USE ONLY
☐
No additional assessment tasks required
☐
Additional assessment tasks required – Resubmission required
(see comments on Competency Record Page)
Z:\shared documents\QMS V3.0\Assessment Cover Sheet & Comp Record Sheet
V1.docx
©CSTDC
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Office Use Only 1. Signed Original to be copied
2. Original to be filed in Students File
3. Copy to be provided to Student
Competency Record Sheet
After completion of assessment tasks the competency record should be completed and signed by the learner, assessor,
and if applicable the supervisor. If competency is not achieved at the first attempt strategies to address gaps in the
performance need to be identified and time for reassessment arranged.
Student Name
Unit code and title
Assessment tools used and satisfactory outcomes achieved (Tick)
☐ Knowledge Test (oral/written questions) ☐ Demonstration
☐
Supervisor/ Third Party/ Report
☐
☐
☐
Project/s
Case Study/s – Scenarios
Other
Other assessment methods used by the RTO and satisfactory outcomes achieved (please detail)
The learner has been assessed as competent in the elements and performance criteria, critical aspects for
assessment, required skills and knowledge for this unit and the evidence presented is:
☐ Authentic
☐ Valid
☐ Reliable
☐ Current
☐ Sufficient
Assessment
☐
☐
Academic Pass
Competency Achieved
Comments:
Assessor Name
Assessor Signature
If the learner is not yet competent in this unit; date for reassessment
Date
/
/
Strategies to address gaps in performance feedback
Learners Comments
☐
I have received written feedback
Students Name
Students Signature
Date
Assessor Name
Assessor Signature
Date
Z:\shared documents\QMS V3.0\Assessment Cover Sheet & Comp Record Sheet
V1.docx
©CSTDC
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