ATTICS International Learner Initial Assessment Form

These policies are developed exclusively for ATTICS International. Any copying, sharing, or reuse without written consent is not permitted.

Organizational Statement

ATTICS International is an ISO 9001:2015 (Quality Management Systems), ISO/IEC 17024:2012 (Conformity Assessment), and ISO 21001:2025 (Educational Organizations Management Systems) Certified and Compliant Organization, and an Organizational Member of ASTM International (Membership No. 2515539).

This Initial Assessment Form is used to determine learner suitability, entry readiness, support needs, and appropriate learning pathways prior to enrollment or assessment.

Section 1: Learner Personal Information

Field	Details
Full Name
Date of Birth
Gender	☐ Male ☐ Female ☐ Other
Contact Number
Email Address
Address
Emergency Contact Name & Number

Section 2: Course Information

Field	Details
Course Title
Level
Start Date
Duration
Mode of Study	☐ Online ☐ Classroom ☐ Blended

Section 3: Educational Background

Field	Details
Highest Qualification
Institution
Year of Completion
Other Relevant Qualifications / Certifications

Section 4: Employment & Work Experience

Field	Details
Current Employer
Job Title
Years of Work Experience
Relevant Work Experience (related to course)

Section 5: Skills and Competency Assessment

Instructions: Learner to self-assess and/or staff to assess current skills and knowledge.

Skill Area	Assessment (Self / Assessor)	Comments / Evidence
Communication Skills	☐ Excellent ☐ Good ☐ Needs Improvement
IT / Computer Skills	☐ Excellent ☐ Good ☐ Needs Improvement
Subject Knowledge (relevant to course)	☐ Excellent ☐ Good ☐ Needs Improvement
Problem-Solving Skills	☐ Excellent ☐ Good ☐ Needs Improvement

Skill Area	Assessment (Self / Assessor)	Comments / Evidence
Teamwork / Collaboration	☐ Excellent ☐ Good ☐ Needs Improvement
Time Management	☐ Excellent ☐ Good ☐ Needs Improvement

Section 6: Learning Needs & Support Requirements

Question	Response
Do you have any special learning needs or disabilities?	☐ Yes ☐ No
If yes, please specify the support required
Preferred Learning Style	☐ Visual ☐ Auditory ☐ Kinesthetic ☐ Mixed
Language Proficiency	☐ Fluent ☐ Intermediate ☐ Basic
Other Support Needed

Section 7: Recognition of Prior Learning (RPL) Consideration

Question	Response
Do you wish to apply for RPL for this course?	☐ Yes ☐ No
If yes, please list qualifications, certificates, or work experience to be considered
Evidence Provided	☐ Certificates ☐ References ☐ Portfolio ☐ Other:

Section 8: Initial Assessment Outcome

To be completed by Assessor / Trainer:

Area	Assessment / Comments	Action Required
Overall Suitability for Course		☐ Suitable ☐ Additional Support Needed
Additional Support Recommended
Recommended Course Start Date

Section 9: Learner Declaration

I confirm that the information provided is accurate and complete to the best of my knowledge. I understand that any support required will be provided based on this initial assessment.

Learner Name: __________________________
Signature: __________________________
Date: __________________________

Section 10: Assessor / Staff Declaration

I confirm that this initial assessment has been conducted fairly, and I have identified the learner’s current skills, needs, and support requirements.

Assessor Name: __________________________
Position: __________________________
Signature: __________________________
Date: __________________________

Records & Confidentiality Notice

This form is confidential and controlled under ATTICS International’s Data Protection & Privacy Policy. Information is used solely for learning, assessment, and certification purposes.