Distance Learning Initial Assessment 
Please answer the below questions before starting your distance learning course
Sign in to Google to save your progress. Learn more
Learner Name: *
Please select your highest English qualification from the options below: *
Required
Do you have internet access? *
Contact Number: *
Email Address: *
Do you have a device to complete this course on e.g. PC, Laptop? *
Do you work for the local authority? *
Have you been requested to complete this course by your line manager? *
If yes above, please provide the email of your line manager
Please select your subject area from the below options: *
What knowledge of this subject do you have at the start of the course?
 *
Section 2
Please answer the following questions using the command verbs provided 
Explain in a paragraph why you have chosen this course including personal and professional interest and experience *
Explain how you may progress from this qualification upon completion, including career progression, and further study *
Are there any barriers which may impact on you achieving the course, such as learning difficulty or disability etc? *
Further information for learners beginning a level 2 certificate.
This is equivalent working level as a GCSE / Functional Skills Level 2 and achieved over 12 weeks using an online learning platform to access resources, with support from your assessor.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Darlington Learning and Skills. Report Abuse
Google Forms