Your assessor will provide you with the due dates for

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Your assessor will provide you with the due dates for each assessment task. Write them in the table below.Assessment RequirementsDue date1.Written questions2.Case study3.Role plays4.Workplace observation tasksAGREEMENTBYTHESTUDENTRead through the assessments in this booklet before you fill out and sign the agreement below. Makesure you sign this before you start any of your assessments.Have you read and understood what is required of you in terms of assessment?YesNoDo you understand the requirements of this assessment? YesNoDo you agree to the way in which you are being assessed?YesNoDo you have any special needs or considerations to be made for this assessment? If yes, what are they? ______________________________________________________________________________________________________YesNoDo you understand your rights to appeal the decisions made in an assessment?YesNoStudent name: _______________________________________________________________________________________Student signature: ____________________________________________________ Date: ________________________Assessor name: ______________________________________________________________________________________Assessor signature: ____________________________________________________ Date: ________________________9441542EEE78C668FCDD0BFA5E00D0438F956CBB.DOCXCHC33015 CERTIFICATEIIIININDIVIDUALSUPPORTApex Training Institute Page 5
ASSESSMENT TASK COVER SHEET – ASSESSMENT TASK 1Students: Please fill out this cover sheet clearly and accurately for this task. Make sure you have kept a copy of your work.Name:Date of birth:Student ID:Unit: CHCCCS011 Meet personal support needsStudent to completeAssessor to completeAssessment TaskResubmission?Y/NStudent initialsSufficient/insufficientDateWritten questionsSTUDENT DECLARATIONI __________________________________________________________declare that these tasks are my own work.None of this work has been completed by any other person.I have not cheated or plagiarised the work or colluded with any other student/s. I have correctly referenced all resources and reference texts throughout these assessment tasks. I understand that if I am found to be in breach of policy, disciplinary action may be taken against me.Student signature: ___________________________________________________________________________________Student name: _______________________________________________________________________________________Date: ________________________________________________________________________________________________ 9441542EEE78C668FCDD0BFA5E00D0438F956CBB.DOCXCHC33015 CERTIFICATEIIIININDIVIDUALSUPPORTApex Training Institute Page 6
ASSESSOR FEEDBACKAssessors: Please return this cover sheet to the student with assessment results and feedback. A copy must be supplied to the office and kept in the student’s file with the evidence. ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Assessor signature: __________________________________________________________________________________Assessor name: ______________________________________________________________________________________Date: ________________________________________________________________________________________________ 9441542EEE78C668FCDD0BFA5E00D0438F956CBB.DOCXCHC33015 CERTIFICATEIIIININDIVIDUALSUPPORTApex Training Institute Page 7
9441542EEE78C668FCDD0BFA5E00D0438F956CBB.DOCXCHC33015 CERTIFICATEIIIININDIVIDUALSUPPORTApex Training Institute Page 8
ASSESSMENT TASK 1: WRITTEN QUESTIONS TASKSUMMARY:This is an open book test – you can use the Internet, textbooks and other documents to help you with your answers if required.You must answer all 11 questions correctly. Write your answers in the space provided.

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