NATIONAL SKILLS PROFILE ASSESSMENT RECORD
Centre name
Centre no
Candidate name
Assessor name
Skill area
Communication
Module no and title
Module 1 Have a conversation
Grade
First
Evidence Record
Evidence must show that you can:
Evidence location
1.
On two different days, have a conversation with a different person in
an every day situation
2.
Follow the conversation by responding appropriately to what the other
person says
3.
Contribute to the conversation at appropriate times

Assessment Decision
Assessment method/s used:
Observation
Examination of product/candidate’s work
Questioning of candidate
Assessment of the evidence for
this module confirms:
It is valid
It is authentic
It is sufficient
Feedback to candidate on evidence assessed:
I confirm that the candidate has met the requirements of the Evidence must show you can
statements for this module.
Assessor signature
Date
Candidate signature
Date
NATIONAL SKILLS PROFILE ASSESSMENT RECORD
Centre name
Centre no
Candidate name
Assessor name
Skill area
Communication
Module no and title
Module 1 Take part in discussions
Grade
Second
Evidence Record
Evidence must show that you can:
Evidence location
1.
On two different days, take part in a discussion (on different topics)
2.
Follow the main points of the discussion by making a relevant
contribution
3.
Make your contribution to the discussion at the appropriate time

Assessment Decision
Assessment method/s used:
Observation
Examination of product/candidate’s work
Questioning of candidate
Assessment of the evidence for
this module confirms:
It is valid
It is authentic
It is sufficient
Feedback to candidate on evidence assessed:
I confirm that the candidate has met the requirements of the Evidence must show you can
statements for this module.
Assessor signature
Date
Candidate signature
Date
NATIONAL SKILLS PROFILE ASSESSMENT RECORD
Centre name
Centre no
Candidate name
Assessor name
Skill area
Communication
Grade
Module no and title
Module 1 Contribute to discussions and respond to the views of others
Third
Evidence Record
Evidence must show that you can:
Evidence location
1.
On two different days, take part in a discussion (on different topics)
2.
Follow the main points of the discussion by responding to the
contributions of others
3.
Make at least two relevant contributions at the appropriate times
4.
Respect the turn-taking rights of others

Assessment Decision
Assessment method/s used:
Observation
Examination of product/candidate’s work
Questioning of candidate
Assessment of the evidence for
this module confirms:
It is valid
It is authentic
It is sufficient
Feedback to candidate on evidence assessed:
I confirm that the candidate has met the requirements of the Evidence must show you can
statements for this module.
Assessor signature
Date
Candidate signature
Date
NATIONAL SKILLS PROFILE ASSESSMENT RECORD
Centre name
Centre no
Candidate name
Assessor name
Skill area
Communication
Grade
Module no and title
Module 2 Make requests and ask questions in familiar situations
First
Evidence Record
Evidence must show that you can:
Evidence location
1.
Make a request
2.
Ask a question to obtain information
3.
Use appropriate terms on each occasion

Assessment Decision
Assessment method/s used:
Observation
Examination of product/candidate’s work
Questioning of candidate
Assessment of the evidence for
this module confirms:
It is valid
It is authentic
It is sufficient
Feedback to candidate on evidence assessed:
I confirm that the candidate has met the requirements of the Evidence must show you can
statements for this module.
Assessor signature
Date
Candidate signature
Date
NATIONAL SKILLS PROFILE ASSESSMENT RECORD
Centre name
Centre no
Candidate name
Assessor name
Skill area
Communication
Grade
Module no and title
Module 2 Make requests and ask questions in everyday situations
Second
Evidence Record
Evidence must show that you can:
Evidence location
1.
On two different days, make a request in a different everyday situation
2.
On two different days, ask a question to obtain information in a
different everyday situation
3.
Ask question/s to clarify understanding
4.
Use appropriate terms on each occasion

Assessment Decision
Assessment method/s used:
Observation
Examination of product/candidate’s work
Questioning of candidate
Assessment of the evidence for
this module confirms:
It is valid
It is authentic
It is sufficient
Feedback to candidate on evidence assessed:
I confirm that the candidate has met the requirements of the Evidence must show you can
statements for this module.
Assessor signature
Date
Candidate signature
Date
NATIONAL SKILLS PROFILE ASSESSMENT RECORD
Centre name
Centre no
Candidate name
Assessor name
Skill area
Communication
Grade
Module no and title
Module 2 Make requests and ask questions in a variety of situations
Third
Evidence Record
Evidence must show that you can:
Evidence location
1.
Make a request in a familiar situation using appropriate terms
2.
Make a request in an unfamiliar situation using appropriate terms
3.
Ask questions to obtain information in a familiar situation using
appropriate terms
4.
Ask questions to obtain information in an unfamiliar situation using
appropriate terms
5.
Use formal language and register where appropriate

Assessment Decision
Assessment method/s used:
Observation
Examination of product/candidate’s work
Questioning of candidate
Assessment of the evidence for
this module confirms:
It is valid
It is authentic
It is sufficient
Feedback to candidate on evidence assessed:
I confirm that the candidate has met the requirements of the Evidence must show you can
statements for this module.
Assessor signature
Date
Candidate signature
Date
NATIONAL SKILLS PROFILE ASSESSMENT RECORD
Centre name
Centre no
Candidate name
Assessor name
Skill area
Communication
Module no and title
Module 3 Provide personal information
Grade
First
Evidence Record
Evidence must show that you can:
Evidence location
1.
On two different days respond to a different request for personal
information
2.
Provide the information that has been requested
3.
Provide accurate information

Assessment Decision
Assessment method/s used:
Observation
Examination of product/candidate’s work
Questioning of candidate
Assessment of the evidence for
this module confirms:
It is valid
It is authentic
It is sufficient
Feedback to candidate on evidence assessed:
I confirm that the candidate has met the requirements of the Evidence must show you can
statements for this module.
Assessor signature
Date
Candidate signature
Date
NATIONAL SKILLS PROFILE ASSESSMENT RECORD
Centre name
Centre no
Candidate name
Assessor name
Skill area
Communication
Grade
Module no and title
Module 3 Provide personal information in writing
Second
Evidence Record
Evidence must show that you can:
Evidence location
1.
On two different days, provide your name, address and at least one
other piece of personal information in writing
2.
Provide accurate information that is fit for purpose

Assessment Decision
Assessment method/s used:
Observation
Examination of product/candidate’s work
Questioning of candidate
Assessment of the evidence for
this module confirms:
It is valid
It is authentic
It is sufficient
Feedback to candidate on evidence assessed:
I confirm that the candidate has met the requirements of the Evidence must show you can
statements for this module.
Assessor signature
Date
Candidate signature
Date
NATIONAL SKILLS PROFILE ASSESSMENT RECORD
Centre name
Centre no
Candidate name
Assessor name
Skill area
Communication
Grade
Module no and title
Module 3 Complete forms with personal information
Third
Evidence Record
Evidence must show that you can:
Evidence location
1.
Complete two different forms with the personal information required
2.
Follow the instructions given on each form
3.
Provide accurate information as requested on the form

Assessment Decision
Assessment method/s used:
Observation
Examination of product/candidate’s work
Questioning of candidate
Assessment of the evidence for
this module confirms:
It is valid
It is authentic
It is sufficient
Feedback to candidate on evidence assessed:
I confirm that the candidate has met the requirements of the Evidence must show you can
statements for this module.
Assessor signature
Date
Candidate signature
Date
NATIONAL SKILLS PROFILE ASSESSMENT RECORD
Centre name
Centre no
Candidate name
Assessor name
Skill area
Communication
Module no and title
Module 4 Read and understand short texts
Grade
First
Evidence Record
Evidence must show that you can:
Evidence location
1.
Read two different short pieces of text
2.
Explain what each piece of text is about
3.
Recognise the purpose of two different pieces of text

Assessment Decision
Assessment method/s used:
Observation
Examination of product/candidate’s work
Questioning of candidate
Assessment of the evidence for
this module confirms:
It is valid
It is authentic
It is sufficient
Feedback to candidate on evidence assessed:
I confirm that the candidate has met the requirements of the Evidence must show you can
statements for this module.
Assessor signature
Date
Candidate signature
Date
NATIONAL SKILLS PROFILE ASSESSMENT RECORD
Centre name
Centre no
Candidate name
Assessor name
Skill area
Communication
Grade
Module no and title
Module 4 Read and understand chronological and instructional texts
Second
Evidence Record
Evidence must show that you can:
Evidence location
1.
Read a short chronological text and explain the main events
2.
Read a short instructional text and explain the main points
3.
Recognise the purpose of four different pieces of text

Assessment Decision
Assessment method/s used:
Observation
Examination of product/candidate’s work
Questioning of candidate
Assessment of the evidence for
this module confirms:
It is valid
It is authentic
It is sufficient
Feedback to candidate on evidence assessed:
I confirm that the candidate has met the requirements of the Evidence must show you can
statements for this module.
Assessor signature
Date
Candidate signature
Date
NATIONAL SKILLS PROFILE ASSESSMENT RECORD
Centre name
Centre no
Candidate name
Assessor name
Skill area
Communication
Grade
Module no and title
Module 4 Use different reading techniques to understand a variety of
texts
Third
Evidence Record
Evidence must show that you can:
Evidence location
1.
Skim read the headings, titles and illustrations in a piece of text and
decide what the text is about
2.
Scan a piece of text using key words to find specific information
3.
Read two different types of text of more than one paragraph each and
identify the main points and ideas in each text

Assessment Decision
Assessment method/s used:
Observation
Examination of product/candidate’s work
Questioning of candidate
Assessment of the evidence for
this module confirms:
It is valid
It is authentic
It is sufficient
Feedback to candidate on evidence assessed:
I confirm that the candidate has met the requirements of the Evidence must show you can
statements for this module.
Assessor signature
Date
Candidate signature
Date
NATIONAL SKILLS PROFILE ASSESSMENT RECORD
Centre name
Centre no
Candidate name
Assessor name
Skill area
Communication
Module no and title
Module 5 Write words and phrases
Grade
First
Evidence Record
Evidence must show that you can:
Evidence location
1.
Write your own name using correct punctuation and spelling
2.
Write a list of five items with the majority of words spelt correctly
3.
Write a short message using correct punctuation and with the majority
of words spelt correctly

Assessment Decision
Assessment method/s used:
Observation
Examination of product/candidate’s work
Questioning of candidate
Assessment of the evidence for
this module confirms:
It is valid
It is authentic
It is sufficient
Feedback to candidate on evidence assessed:
I confirm that the candidate has met the requirements of the Evidence must show you can
statements for this module.
Assessor signature
Date
Candidate signature
Date
NATIONAL SKILLS PROFILE ASSESSMENT RECORD
Centre name
Centre no
Candidate name
Assessor name
Skill area
Communication
Module no and title
Module 5 Present written information
Grade
Second
Evidence Record
Evidence must show that you can:
Evidence location
1.
On two different days present written information
2.
3.
On each occasion use correct punctuation and spell the majority of
words correctly
On each occasion use a different format and style
4.
On each occasion use an appropriate format and style

Assessment Decision
Assessment method/s used:
Observation
Examination of product/candidate’s work
Questioning of candidate
Assessment of the evidence for
this module confirms:
It is valid
It is authentic
It is sufficient
Feedback to candidate on evidence assessed:
I confirm that the candidate has met the requirements of the Evidence must show you can
statements for this module.
Assessor signature
Date
Candidate signature
Date
NATIONAL SKILLS PROFILE ASSESSMENT RECORD
Centre name
Centre no
Candidate name
Assessor name
Skill area
Communication
Grade
Module no and title
Module 5 Present written information using short paragraphs
Third
Evidence Record
Evidence must show that you can:
Evidence location
1.
On two different days draft written information
2.
On each occasion organise the writing using more than one paragraph
3.
On each occasion use correct punctuation and basic grammar and
spell the majority of words correctly
4.
Use a different format and style for each occasion
5.
On each occasion use an appropriate format and style
6.
On each occasion proof read your writing for errors and present the
final version

Assessment Decision
Assessment method/s used:
Observation
Examination of product/candidate’s work
Questioning of candidate
Assessment of the evidence for
this module confirms:
It is valid
It is authentic
It is sufficient
Feedback to candidate on evidence assessed:
I confirm that the candidate has met the requirements of the Evidence must show you can
statements for this module.
Assessor signature
Date
Candidate signature
Date