Example A – Individual Learning Plan



Initial Assessment

Name: Date of Interview

Initial Assessment Results

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|Initial Assessment | |

| |Score | | |

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|Notes on Interview and Initial Assessment |

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|Oral Communication Notes: |

|Individual Support Needs/Requirements: |

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|Learning Style Information: |

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|Total number of Learning Hours for duration of ILP | |

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Individual Learning Plan

|Long Term Goals |

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|Short term goals |

|Targets | |

| |By date: |Specific Skills |Achieved |

| | |Curriculum Reference/s | |

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Signatures:

Learner: Teacher:

Start Date: Date of next review:

LEARNING PROGRAMME

Target 1

|Date |Activity |Resources |Complete |

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Target 2

|Date |Activity |Resources |Complete |

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Target 3

|Date |Activity |Resources |Complete |

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Target 4

|Date |Activity |Resources |Complete |

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Learner’s Record of work

|Date |Work |Learner’s comments |Teacher Comments |

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Review

Date of review

|Achievements (Look back at your targets and short term goals) | |

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|How do you feel about your progress? Use this space to record other achievements and/or ways in which you have used new skills outside | |

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|Targets | |

| |By date: |Specific Skills |Achieved |

| | |Curriculum Reference/s | |

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Signatures:

Learner: Teacher:

LEARNING PROGRAMME

END OF COURSE REVIEW

To be completed at the end of the course

|What do you feel you have gained from this course? |

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|Accreditation |

|Achievement of targets and goals |

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|Evidence |

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|Next steps |

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Signed

Learner Tutor

Date

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