CHCDIV001 Work with diverse people Assessment Cover Page

ASSESSMENT COVER PAGE
CHCDIV001 Work with diverse people
Please fill out the following
Qualification Individual Support
Student number
Student name
Student email
Assessor name
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 Date:

Signature

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 1QUESTIONS AND ANSWERS
 SATISFACTORY  NOT YET SATISFACTORY NOT APPLICABLE
ASSESSMENT TASK 2CASE STUDY
 SATISFACTORY  NOT YET SATISFACTORY NOT APPLICABLE
ASSESSMENT TASK 3 PORTFOLIO
 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
Student
Name:
Student
No.
Email: Phone No.
OFFICE USE ONLY
Document name Person
responsible Head of Operations
Issue date Version 2.0 Feb
2017 Status Released
Document control management – Uncontrolled when printed