Assessment Cover Sheet

Assessment Cover Sheet
STUDENT to complete using your full name. Submit one cover sheet with each complete Assessment Task. Cover Sheets will only be accepted with an attachment. The attachment should be the completed corresponding Assessment Task.

NOTE:

This online assessment cover sheet should be used for each individual completed assessment task you are submitting. Please ensure that you use your full name.

If you are submitting more than one completed assessment task, you are required to complete the form for each of the completed tasks you are submitting.

You are required to use the ‘File Upload’ section of the form to upload the corresponding completed assessment task. Prior to hitting ‘Submit’, please ensure the uploaded completed assessment task matches the ‘Assessment Task #’ selected in the drop down box.

You cannot use this form to upload MULTIPLE completed tasks. Online submission of one completed task requires one completed assessment cover sheet form.
STUDENT NAME:*
STUDENT EMAIL: *
example@example.com
TRAINER:*
UNIT CODE(S):*
UNIT NAME(S):*
Assessment Task being submitted.*
Indicate the Assessment Task # (refer to your Assessment Plan)
By signing below I, declare that:

I have understood the instructions provided and have received any relevant documentation for me to be able to complete the assessment/sI have been advised of the assessment requirements, have been made aware of my rights and responsibilities as a Student, and choose to be assessed at this timeI have been made aware of the ‘Appeals Procedure’ that provides an avenue for reassessment if necessaryThe work I am submitting is my own work and contains no material written by another person except where due reference is madeI am aware that a false declaration may lead to withdrawal of a qualification or statement of attainmentI have included my full name and unit code on each individual page of my submitted assessment workI have retained a copy of all my submitted assessment work
Signature*

Clear
Date*

DayMonthYear
Current Date
File Upload

Please note: Macro-enabled and template file spreadsheets as well as .pub documents are not accepted, so please convert and upload these as zip files.
Cancelof
TO SUBMIT YOUR WORK PLEASE PRESS SUBMIT BELOW
ASSESSOR to complete with feedback for student on task results or further instruction if a resubmit is required
Outcome

SatisfactoryNot yet Satisfactory (See Resubmit Due Date)
Resubmit Due Date

DayMonthYear
Date
Comments / Feedback*
File Upload

Cancelof
Assessor Signature

Clear
Assessor Signature (Electronic)

Cancelof
Trainer Name*
Trainer Email*
Date

DayMonthYear
Current Date
ET AUSTRALIA I RTO ID 90084
Assessment Cover Sheet (Electronic Use Only)
Version 10.0
2 Dec 2019
Page 1 of 1
Should be Empty: