Supervisor’s name: ___________________________________________________________________________
Signature:_____________________________________________________________________________________
Date: ___________________________
C
595
A
8564199
ABF
3
D
4
D
11
F
690
F
58
EB
7878
C
7
BE
54.
DOCX
CHC33015 C
ERTIFICATE
III
IN
I
NDIVIDUAL
S
UPPORT
Apex Training Institute
Page 31

Provide Individualised Support – Permission Form for Client 3
Supervisor’s approval
I, _____________________________________________________________________________________________,
<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 three clients.
The student must be supervised at all times when working with the client.
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: ___________________________
C
595
A
8564199
ABF
3
D
4
D
11
F
690
F
58
EB
7878
C
7
BE
54.
DOCX
CHC33015 C
ERTIFICATE
III
IN
I
NDIVIDUAL
S
UPPORT
Apex Training Institute
Page 32

Assessment Task 3: Report on Client 1
Client support needs
What are the support needs for this
individual according to their plan?
How did you work with the client to support
their needs?
C
595
A
8564199
ABF
3
D
4
D
11
F
690
F
58
EB
7878
C
7
BE
54.
DOCX
CHC33015 C
ERTIFICATE
III
IN
I
NDIVIDUAL
S
UPPORT
Apex Training Institute
Page 33

Assessment Task 3: Report on Client 1
How did you prepare for support activities?
Explain your role and duty of care for this
client.
C
595
A
8564199
ABF
3
D
4
D
11
F
690
F
58
EB
7878
C
7
BE
54.
DOCX
CHC33015 C
ERTIFICATE
III
IN
I
NDIVIDUAL
S
UPPORT
Apex Training Institute
Page 34

Assessment Task 3: Report on Client 1
Describe the role and responsibilities of
each member of the support team.
What are the skills opportunities according
to the client’s plan?
Providing support
C
595
A
8564199
ABF
3
D
4
D
11
F
690
F
58
EB
7878
C
7
BE
54.
DOCX
CHC33015 C
ERTIFICATE
III
IN
I
NDIVIDUAL
S
UPPORT
Apex Training Institute
Page 35

Assessment Task 3: Report on Client 1
Describe your communication with this
client and members of the support team.
How did you develop and maintain trust?
C
595
A
8564199
ABF
3
D
4
D
11
F
690
F
58
EB
7878
C
7
BE
54.
DOCX
CHC33015 C
ERTIFICATE
III
IN
I
NDIVIDUAL
S
UPPORT
Apex Training Institute
Page 36

Assessment Task 3: Report on Client 1
What equipment were you required to
assemble according to procedures and plan?
How did you include family and/or carers as
part of the support?
Maintaining support
C
595
A
8564199
ABF
3
D
4
D
11
F
690
F
58
EB
7878
C
7
BE
54.
DOCX
CHC33015 C
ERTIFICATE
III
IN
I
NDIVIDUAL
S
UPPORT
Apex Training Institute
Page 37

Assessment Task 3: Report on Client 1
How did you collaborate with the client to
ensure services were meeting their needs?
Were any changes to the plan identified? If
so, describe the process undertaken?
C
595
A
8564199
ABF
3
D
4
D
11
F
690
F
58
EB
7878
C
7
BE
54.
DOCX
CHC33015 C
ERTIFICATE
III
IN
I
NDIVIDUAL
S
UPPORT
Apex Training Institute
Page 38

Assessment Task 3: Report on Client 1
How did you support the client’ self-
determination?
