Develop menus for special dietary requirments



This form is to be completed by the assessor and used as a final record of student competency.

All student submissions including any associated checklists are to be attached to this cover sheet before placing on the students file.

Student results are not to be entered into the Student Management Database unless all relevant paperwork is completed and attached to this form.


Student Name:  
Student ID No:  
Completion Date:  


Unit Code: SITHKOP004
Unit Title: Develop menus for special dietary requirments


Please attach the following documentation to this form Result

S = Satisfactory

NS = Not Satisfactory

NA = Not Assessed


S = Satisfactory

NS = Not Satisfactory

NA = Not Assessed

Assessment 1 q Project Tasks


S   |   NS   |   NA S   |   NS   |   NA
Assessment 2 q Multiple Choice – Knowledge Test


S   |   NS   |   NA S   |   NS   |   NA
Assessment 3


q Work Book – Short Answer


S   |   NS   |   NA S    |   NS   |   NA
            Final Assessment Result for this unit C   /   NYC


Assessor Comments and Feedback to student:  _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


Student Declaration:  I declare that this assessment is my own work based on personal study and research and not plagiarised or copied from another student’s work or source.


I am also aware of my appeal rights.

Name:        ____________________________

Signature:   ____________________________

Date:          ____/_____/_____

Assessor Declaration:  I declare that I have conducted a fair, valid, reliable and flexible assessment with this student. I have provided appropriate feedback and advised the student of their result.



Name:        __P.Seneviratne__________________________

Signature:   ____________________________

Date:          ____/_____/_____


Entered into Student Management Database q  ________________




Administrative use only