Activities may include questioning

Formative Assessment Instrument Formative Assessment Instrument

Learner Name: _____________________________

Workplace: ______________________________________

Document Index

Content Description	Page
	2
	3
	4
	7
Formative Assessment: Knowledge Questionnaire	8
Formative Assessment: Classroom Activity Confirmation	18
	19
	20
	21

	3

Instructions & Memorandum of Assessment

Assessment Section 2:

2.1 Summative Knowledge Assessment
You are required to complete the knowledge assessment by answering all the questions provided in filled giving examples where asked.

Formative Assessment: Module 6 Issue Date: 06/08/2020 Review Date: 06/08/2021 Version: 02

LEARNER ASSESSMENT PLAN

	Evidence of activity will be found where	Place & planned date of activity

Self assessment	Assessment contract signed & dated
Assessment contract
	Assessor briefing checklist	Learner file Date:

	Assessment instruments	Learner file Date:
Summative Assessment
		Learner file Date:
Feedback
		Learner file Date:
Judgement
		Learner file Date:
2nd Reassessment


Trainer:	Mentor / Coach:

	5

Resources required for this assessment

	Date:

Name of Assessor:

Date of feedback sessi on:

Reasons for Appeal

No	No Please give detailed reasons for the choice(s) above
1
2
3
4
5

PRE-ASSESSMENT MEETING CHECKLIST

Formative Assessment: Module 6 Issue Date: 06/08/2020 Review Date: 06/08/2021 Version: 02



Assessors Name:	Si gnature:

	KNOWLEDGE QUESTIONAIRE

2.	Describe HTML.

4.

Formative Assessment: Module 6 Issue Date: 06/08/2020 Review Date: 06/08/2021 Version: 02

	9

5.

7.	Explain data driven web pages.

Choice A
	Structure	Identifications

This is to verify that the learner has completed all the above and has achieved competence.

	10

Learners Name:___________________________ Learners Reg No:___________________ Learners Signature:________________________ Date: _____________________________ 2

Formative Assessment: Module 6 Issue Date: 06/08/2020 Review Date: 06/08/2021 Version: 02

JUDGEMENT REPORT

Action required: By when:
Assessor’s feedback remarks

Formative Assessment: Module 6 Issue Date: 06/08/2018 Review Date: 06/08/2019 Version: 02

ASSESSMENT DECISION AND DECLARATION

Assessors full name & signature

Date

Reassessment Decision



The learner has completed a full qualification

Declaration by Learner


Learner name & sign Date	Assessor name & sign Date	Moderator name & sign Date

Formative Assessment: Module 6 Issue Date: 06/08/2018 Review Date: 06/08/2019 Version: 02

Learner Name		Assessor name
Unit Stds		Date
Review dimension	Learner Yes No		Assesso r Yes No	Action




The assessment did not interfere with my normal responsibilities?
Was the assessment instrument fair, clear, and understandable?
The assessment judgment was made against set requirements?
Was the venue and equipment functional?




Were the review / evaluation process apparent and user friendly?