Learner Assessment

Help Us Understand the Learner

This assessment helps Faith Academy SA understand the learner's educational history, current level, learning needs and goals before recommending the next step.

For a minor learner, the form should be completed by a parent or legal guardian. Adult learners complete their own assessment. Sections will appear according to your answers so you only see what is relevant.

Faith Academy SA Learner Assessment

Please provide as much relevant information as possible. The assessment does not guarantee admission, a particular grade placement, accelerated progression or acceptance into a particular programme.

Applicant & Contact Details

Tell us who the assessment is for and how we can contact you.

Who is this assessment for?*

Child / Minor Learner Adult Learner

Person Completing Form*

Relationship to Learner

Mobile Number*

WhatsApp Number

Email Address*

Residential Address

Street Address

City

State / Province

Zip / Postal Code

Preferred Contact Method

WhatsApp Phone Email

Learner Details

Learner Full Legal Name*

First Name

Last Name

Preferred Name

Date of Birth*

Age

Home Language

Preferred Learning Language

Current Educational Status*

Educational History

Highest Grade Successfully Completed

Current Academic Level (if known)

Previous School / Programme

Curriculum Previously Followed

Has the learner repeated a grade?

Yes No

Has there been a significant break in education?

Yes No

Please explain the break in education

Why are you considering Faith Academy SA?

Smaller environment Individual attention Academic difficulties Learning barriers CAPS / Impaq support GED pathway Left traditional schooling Adult returning to education Additional tutoring Flexible learning Other

Academic Profile

Reading

Reading Comprehension

Writing

Spelling

Mathematics

Understanding Verbal Instructions

Understanding Written Instructions

Independent Work

Typical Concentration Period

Strongest Subjects

Most Difficult Subjects

How Does the Learner Learn?

Select all learning approaches that help

Written information Verbal explanation Demonstrations / video Hands-on activities Repetition One-to-one explanation Group discussion Independent learning Unsure

Does the learner require repeated instructions?

Does a large amount of written work create difficulty?

Would printed notes help?

Does oral explanation help?

What teaching methods have worked well previously?

What has not worked well?

Learning Barriers & Support

Does the learner have any diagnosed or suspected learning / support needs?*

No Yes Unsure

Learning / support needs

ADHD / attention difficulties Autism spectrum Dyslexia / reading difficulties Dyscalculia / mathematics difficulties Dysgraphia / writing difficulties Speech difficulties Language / communication difficulties Processing difficulties Memory difficulties Emotional / behavioural regulation difficulties Hearing impairment / deafness Visual impairment / blindness Physical disability Mobility difficulties Developmental / intellectual disability Anxiety affecting learning Other

Formal diagnosis?

Yes No Assessment underway

Previous / current support

Speech therapy Occupational therapy Educational psychologist Counselling Remedial support Physiotherapy Other

What classroom strategies currently help?

Behaviour & Support

How does the learner interact with other learners?

How well does the learner follow instructions?

Any significant disruptive behaviour?

Yes No

Please describe the disruptive behaviour

Previous suspension / expulsion relating to behaviour?

Yes No

Please provide relevant details

Known triggers

What helps the learner refocus?

Accessibility

Does the learner have a physical / mobility limitation?

Yes No

Mobility support used

Wheelchair Crutches Walking aid Other

Can the learner move around independently?

Yes No

Does the learner require continuous personal caregiving?

Yes No

Accessibility requirements

Programme Interest

What support are you interested in?*

CAPS / Impaq GED Additional Tutoring Unsure / Need Guidance

CAPS / Impaq Details

This section is shown only for applicants interested in CAPS / Impaq.

Grade Required

Currently registered with Impaq?

Yes No

Impaq registration pending?

Yes No

Does the parent need registration guidance?

Yes No

Previous / current CAPS grade

Latest report available?

Yes No

Areas requiring support

GED Details

This section is shown only for applicants interested in GED.

Why are you considering GED?

Highest grade completed

Current Age

Already registered at GED.com?

Yes No

GED courseware already obtained?

Yes No

Any GED subjects started?

Yes No

GED Ready tests attempted?

Yes No

Any official GED subjects completed?

Yes No

Long-term educational / career goal

Important GED Age Information

Preparation at Faith Academy SA does not itself make a learner eligible to sit official GED tests. Current GED South Africa age requirements apply independently.

Adult Learner Details

This section is shown only to adult applicants.

Employment Status

Preferred Tuition Period

Work / family scheduling requirements

Reason for returning to education

Qualification Goal

Intended Career / Further Study

Goals & Final Information

What would you most like Faith to help the learner achieve?

Catch up academically Improve reading Improve writing Improve mathematics Improve confidence Improve concentration Examination preparation CAPS / Impaq support GED preparation Return to structured education Individual attention Other

Learner's strongest qualities

Biggest concern

Anything else Faith should know?

Assessment Consent

I confirm that the information supplied is accurate to the best of my knowledge.

I understand that this assessment does not guarantee admission, a particular grade placement, accelerated progression or acceptance into a particular programme.

I consent to Faith Academy SA contacting me about this assessment.

I consent to the processing of this information for assessment and enrolment-related purposes.

I have read and agree to our Terms and Conditions.

Help Us Understand the Learner

Faith Academy SA Learner Assessment

Applicant & Contact Details

Learner Details

Educational History

Academic Profile

How Does the Learner Learn?

Learning Barriers & Support

Behaviour & Support

Accessibility

Programme Interest

CAPS / Impaq Details

GED Details

Important GED Age Information

Adult Learner Details

Goals & Final Information

Assessment Consent

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