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Supervisor’s name: ___________________________________________________________________________ Signature:_____________________________________________________________________________________ Date: ___________________________ Provide Individualised Support – Permission Form for Client 2 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: ___________________________ B 130 EFF 892 E 292 E 6 D 21 FD 837240 ACE 6443 A 07 E 67. DOCX CHC33015 C ERTIFICATE III IN I NDIVIDUAL S UPPORT Apex Training Institute Page 38
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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: ___________________________ B 130 EFF 892 E 292 E 6 D 21 FD 837240 ACE 6443 A 07 E 67. DOCX CHC33015 C ERTIFICATE III IN I NDIVIDUAL S UPPORT Apex Training Institute Page 39
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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? B 130 EFF 892 E 292 E 6 D 21 FD 837240 ACE 6443 A 07 E 67. DOCX CHC33015 C ERTIFICATE III IN I NDIVIDUAL S UPPORT Apex Training Institute Page 40
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Assessment Task 3: Report on Client 1 How did you prepare for support activities? Explain your role and duty of care for this client. B 130 EFF 892 E 292 E 6 D 21 FD 837240 ACE 6443 A 07 E 67. DOCX CHC33015 C ERTIFICATE III IN I NDIVIDUAL S UPPORT Apex Training Institute Page 41
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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 B 130 EFF 892 E 292 E 6 D 21 FD 837240 ACE 6443 A 07 E 67. DOCX CHC33015 C ERTIFICATE III IN I NDIVIDUAL S UPPORT Apex Training Institute Page 42
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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? B 130 EFF 892 E 292 E 6 D 21 FD 837240 ACE 6443 A 07 E 67. DOCX CHC33015 C ERTIFICATE III IN I NDIVIDUAL S UPPORT Apex Training Institute Page 43
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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?
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