Initial Diagnostic assessment

Name: Date:
Programme/Qualification: Venue: Room 5a

What relevant experience do

you have?

What relevant qualifications do you

have?

Have you completed a learning (A) Learning by doing (B)Follow guidelines

styles’ questionnaire? (C) Learn at own pace
If YES, what is your preferred style
of learning?
Do you have any particular (a) Sight problems (b) Hearing Problem (C)
learning needs or special
requirements?

Are you confident at using a YES/NO

computer?
If YES, what experience or
qualifications do you have?

Do you feel you have a good YES/NO

command of written/spoken
English?

Do you feel your numeracy skills YES/NO

need improving?

An individual assessment plan should now be agreed.

Signed assessor: ………………………..
Signed learner: ……………………………..

I
MPORTANT NOTES: How Moriah is being supported

The learner needs support in the following :

1.
2.
3.
4.
5.

1.
2.
3.
4.
Name of School :

INDIVIDUAL LEARNING PLAN

Student Name

ID
Course

Subject(s)

Tutor

Email

Monthly ILP Targets and Review

Recommended
Specific Individual Targets Time Line
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