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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?)	     of	   the	     years?)	   
     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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