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Assessment Record Sheet



               Participant name:
               Competency granted: YES/NO


                 Criteria/standard             Evidence  Validity (Is the  Sufficiency (Is  Authenticity   Current (Is    Comments
                                               supplied  evidence        there enough    (Is the         the evidence
                                                          relevant to    evidence?)      evidence a      recent? In
                                                          the learning                   true reflection   the last four
                                                          outcome?)                                      years?)
                                                                                         of the
                                                                                         participant?)
                 1.
                                               Yes        Yes             Yes            Yes             Yes


                                               No         No              No             No              No


                 2.
                                               Yes        Yes             Yes            Yes             Yes



                                               No         No              No             No              No


                 3.
                                               Yes        Yes             Yes            Yes             Yes


                                               No         No              No             No              No
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