Assessment Report
Name of AIC or Lead Assessor
*
First Name
Last Name
Email
*
example@example.com
Date of Assessment
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Award(s) Assessed
*
Bronze Medallion
SRC
ART
IRB Crew
Silver Medallion IRB Driver
Gold Medallion
Was this a Dry or Wet Assessment?
Dry
Wet
Full
Where was the assessment held?
*
Please Select
Nth Palm Beach
Palm Beach
Whale Beach
Avalon Beach
Bilgola
Newport
Bungan
Mona Vale
Warriewood
Nth Narrabeen
Narrabeen
Sth Narrabeen
Collaroy
Long Reef
Dee Why
Nth Curl Curl
Sth Curl Curl
Freshwater
Queenscliff
North Steyne
Manly
Number of Candidates that Presented
*
Number of Candidates found Competent
*
Were there any "reasonable adjustments" made? Please indicate what and why.
(eg. increased time for run-swim-run)
Did you or the assessment team identify any training issues at assessment?
Please include as many details as possible. ie. the assessment task, the issue and the Club.
Did you or the assessment team identify any issues with the assessment process, equipment, Delivery & Assessment Guide, or Central Venue Guidelines?
Please provide enough detail so the issue can be resolved.
Do you have any other comments we should consider?
Please upload copies of the assessment sign-in and/or attendance sheets here. Copies of Assessment Feedback forms (for NYC candidates) can also be uploaded.
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