A 24 fef 85611 c 6 c 2 c 9 dbb 2 b 5 f 9 d 7 c 746932

This preview shows page 44 - 53 out of 69 pages.

A24FEF85611C6C2C9DBB2B5F9D7C746932CACD5A.DOCXCHC33015 CERTIFICATEIIIININDIVIDUALSUPPORTApex Training Institute
Community and Social Participation Plan – Client Permission Form (Assessment Task 4)Client approval (Use this if the client is able to give permission themselves)Dear __________________________________________________________________________________________My name is ___________________________________________________________________________________and I am studying the Certificate III in Individual Support. As part of my assessment for this task, I will be meeting with you to discuss the community and social participation plan developed in my previous Assessment Task. My assessor is required to sit in on this discussion to observe my performance. Please sign below to show your agreement.Name: ________________________________________________________________________________________Signature:_____________________________________________________________________________________Date: ___________________________Community and Social Participation Plan – Permission Form (Assessment Task 4)Supervisor’s approvalI, _____________________________________________________________________________________________,<Supervisor’s name> approve ________________________________________________________________<student’s name> to undertake this project with ______________________________________________<Client’s name>. Approval is dependent on the following conditions:The student is to work with one client.The student must be supervised at all times when working with the client.The assessor is required to sit in on this discussion to observe the student’s performance. The client or their family may request that this project be stopped at any point. In this case, other arrangements will be made in consultation with the student, the student’s assessor and myself.Supervisor’s name: ___________________________________________________________________________Signature:_____________________________________________________________________________________Date: ___________________________What do I need to hand in for this task?Have I completed this?Completed feedback log – occasion 1Completed feedback log – occasion 2A24FEF85611C6C2C9DBB2B5F9D7C746932CACD5A.DOCXCHC33015 CERTIFICATEIIIININDIVIDUALSUPPORTApex Training Institute
FEEDBACK AND ENGAGEMENT LOG – OCCASION 1Date Time:Duration of activity/program:Activity/program detailsA24FEF85611C6C2C9DBB2B5F9D7C746932CACD5A.DOCXCHC33015 CERTIFICATEIIIININDIVIDUALSUPPORTApex Training InstitutePage 46
FEEDBACK AND ENGAGEMENT LOG – OCCASION 1Observation notesEngagement levelsLow Medium High A24FEF85611C6C2C9DBB2B5F9D7C746932CACD5A.DOCXCHC33015 CERTIFICATEIIIININDIVIDUALSUPPORTApex Training InstitutePage 47
FEEDBACK AND ENGAGEMENT LOG – OCCASION 1FeedbackA24FEF85611C6C2C9DBB2B5F9D7C746932CACD5A.DOCXCHC33015 CERTIFICATEIIIININDIVIDUALSUPPORTApex Training InstitutePage 48
FEEDBACK AND ENGAGEMENT LOG – OCCASION 1ChallengesStudent nameSupervisor signatureDate:A24FEF85611C6C2C9DBB2B5F9D7C746932CACD5A.DOCXCHC33015 CERTIFICATEIIIININDIVIDUALSUPPORTApex Training InstitutePage 49
FEEDBACK AND ENGAGEMENT LOG – OCCASION 2Date Time:Duration of activity/program:A24FEF85611C6C2C9DBB2B5F9D7C746932CACD5A.DOCXCHC33015 CERTIFICATEIIIININDIVIDUALSUPPORTApex Training InstitutePage 50
FEEDBACK AND ENGAGEMENT LOG – OCCASION 2Activity/program detailsA24FEF85611C6C2C9DBB2B5F9D7C746932CACD5A.DOCXCHC33015 CERTIFICATEIIIININDIVIDUALSUPPORTApex Training InstitutePage 51
FEEDBACK AND ENGAGEMENT LOG – OCCASION 2Observation notesEngagement levelsLow Medium High A24FEF85611C6C2C9DBB2B5F9D7C746932CACD5A.

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture