Specific Learning Application Form
This form is designed to be filled out by a candidates key instructor or chief instructor to outline their specific learning needs and requirements for a Surf Lifeguard Award Examination. 
The purpose of this form is for the chief examiner, staff and other examiners to better understand all candidates needs and therefore enable the exam process to be a positive and successful process for all. 
The more information supplied in this form and most importantly, specific information then the better we are equipped to help the candidate. Please consider this application before submitting it. If you are unable to provide specific information then you need to either:
a) speak to the candidate themselves on their needs and/or parent/guardian 
or 
b) consider this application and the need for it. 

It is important to note that all learning needs present differently for each person, and therefore require different solutions and requirements for them to be successful. 

If you have any questions with regards to what is on this form, please contact: 

Discretion is important for this process. The information provided will not be shared outside of Surf Lifesaving, the Examiner team and/or relevant personale in direct contact with this candidate. 

Once you have submitted your form it will be read and discussed for best actions moving forward. Please be aware that we may consult with you further on this application. 
Please also note that if requirements cannot be met at the exam the candidate is enrolled on then another date/exam will be provided. 
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