N/SVQ Recording Forms s1

Form ITQ01 Candidate and centre details Certificate for IT Users (ITQ)

City & Guilds number: Level 1

Candidate name: Candidate contact details:

City & Guilds candidate enrolment number:

Date enrolled with centre: / /

Date registered with City & Guilds / /

Centre number

Centre Name: Workplace name (if appropriate): City of Westminster College

Centre address: Workplace address (if appropriate): Paddington Green Westminster W2 1NB

Centre telephone number: 0207 723 8826 Email: Centre contact/quality assurance co- ordinator (QAC) name: Centre contact/quality assurance co- ordinator (QAC) contact details:

Centre contact/quality assurance co- ordinator (QAC) email address: Form ITQ02 Contact details and signatures Certificate for IT Users (ITQ) Level: 1

Internal verifier name: Bina Pawar Signature: Position: ICT Lecturer, Tutor and Advanced Practitioner Contact details: (Tel/email) [email protected]

Workplace manager name: Signature: Position: Contact details: (Tel/email)

Assessor name (1): Bina Pawar Signature: Position: ICT Lecturer, Tutor and Advanced Practitioner Contact details: (Tel/email) [email protected] work-based / peripatetic / independent* (*delete as necessary)

Assessor name (2): Richard Gillis Signature: Position: ICT Lecturer & Tutor Contact details: (Tel/email) [email protected] work-based / peripatetic / independent* (*delete as necessary)

Assessor name (3): Juli Macarthur Signature: Position: ICT Lecturer & Tutor Contact details: (Tel/email) [email protected] work-based / peripatetic / independent* (*delete as necessary)

(photocopy as required)

Address:

Post Code: Telephone number:

Education: (University, college and school name attended, towns and dates)

Qualifications gained: Date:

Current work role/responsibilities:

Employment history Date: and/or voluntary work:

Courses attended in Date: the last 5 years:

Interests Form ITQ04 Skill scan Certificate for IT Users (ITQ) Level: 1

Unit ref Do you currently do this? Have you evidence of doing this in the Provide examples (if possible) past? Provide examples (if possible) 101

Relevant qualifications held

Further training/experience needed

Attach additional sheets as required

Candidate name:

Please ensure that all witnesses who have signed the candidate’s evidence or written a report are included on this witness status list. All necessary details must be included and signed by the witness as being correct.

Witnes Professional Name and contact Unit or elements Witness s relationship to Date address of witness witnessed signature status candidate

Richard Gillis

City of Westminster 1 Lecturer Unit 101 College Paddington Green W2 1NB

Juli Macarthur

City of Westminster College 2 Lecturer Unit 107 Paddington Green W2 1NB

Bina Pawar

City of Westminster 1 Lecturer Unit 125 College Paddington Green W2 1NB

Abid Chaudhry

City of Westminster Lecturer Unit 108 College Paddington Green W2 1NB

Witness status categories 1. Occupational expert meeting specific 2. Occupational expert not familiar with the qualification requirement for role of Expert standards Witness 3. Non expert familiar with the standards 4. Non expert not familiar with the standards

Assessor Signature: name:

Candidate name: Assessor name:

Unit number(s): 101 Unit Title(s) Improving Productivity using IT 107 Using the Internet 125 Presentation Software

This record can be used for single and multiple unit planning Assessment planning, review, feedback and Candidate and Evidence Date judgement record assessor signatures reference

6 ITQ (7541) Level 1 Unit Recording Forms ©2008 The City and Guilds of London Institute Assessment plan, review and feedback (continued) Assessment planning, review, feedback and Candidate and Evidence Date judgement record assessor signatures reference

The above is an accurate record of the discussion

Candidate signature: Date: Assessor signature: Date: photocopy as required Forms ITQ07 and ITQ08 – Performance evidence record & Questioning record