ASSESSMENT COVER PAGE
CHCCCS015 Provide individualised support
Please fill out the following
Qualification
Community Services
Unit
CHCCCS015 Provide individualised support
Student number
QFC1703122
Student name
Samjhana Thapa Chhetri Subedi
Student email
[email protected]
Assessor name
MeggieManalo
Assessment due date
Submission date
STUDENT DECLARATION
I declare that:
This assessment is my own work, based on my own study and research and no part of it has been copied from
any other source, except where due acknowledgement/reference has been made.
If this assessment was based on teamwork, as authorised by the trainer, I have not submitted the same final
version of any assessment material as another student.
I have not previously submitted this assessment or any part of this assessment for this or any other
course/unit.
I have kept a copy of my assessment.
I give permission for my assessment to be reproduced, communicated, compared and archived for the
purposes of detecting plagiarism or collusion and to fulfil Queensford College’s requirements as an RTO.
Any assessment deemed unsatisfactory will require me to undergo reassessment which may be different to the
one originally submitted.
I am aware that in the event that I disagree with the assessment outcome I have the right to appeal that result.
I will follow the complaints and appeals process.
Student Signature:
Date:
FOR ASSESSOR
Result
SATISFACTORY
NOT YET SATISFACTORY
FINAL OVERALL
RESULT (if
applicable)
COMPETENT
NOT YET COMPETENT
NOT APPLICABLE
If final overall result not applicable, indicate what is still required.
Log Book
Workplace Observations
Other List:
Trainer/Assessor
Signature
Date:
QUEENSFORD COLLEGE
COMMUNITY SERVICES
CHCCCS015 Provide individualised support
ASSESSMENT SUMMARY SHEET
To be deemed competent students must have a satisfactory result recorded for each assessment activity.
If a
result is not satisfactory for any assessment task, the trainer/assessor will determine the training and assessment
tasks to be completed.
ASSESSMENT TASK 1QUESTION AND ANSWER
SATISFACTORY
NOT YET SATISFACTORY
NOT APPLICABLE
ASSESSMENT TASK 2CASE STUDY
SATISFACTORY
NOT YET SATISFACTORY
NOT APPLICABLE
Feedback to Student
The student has been given feedback and informed of the assessment result and the reasons for the decision.
Trainer/Assessor
Signature
Date
Other
Resubmission Date
Is this assessment subject
to an appeals process
Yes
No
Outcome of appeal
RTO No. 31736 |CRICOS 03010G
Community Services
Assessment Workbook
CHCCCS015 Provide individualised support
OFFICE USE ONLY
Document name
CHCCCS015 Provide individualised supportAssessment Workbook
Person responsible
Head of Operations
Issue date
Version 2.0 February 2017
Status
Released
Document control management – Uncontrolled when printed
Student Name:
Student No.
