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Certified Core Isolators Instructor Assessment Doc: :man13_ccii_assessment_exerciselog_0413 Apr 2013 Page1 Exercise Log Assessment for Certified Core Isolators Instructor Course First Name Surname Email Address Date Submitted Introduction: This is a practical assessment. The student must provide record of use of Core Isolators in an exercise environment. The student must instruct a user to exercise on the Core Isolators. The user must verify via this form the Exercise Log. Practical Assessment: 1. The student will instruct a user on a single Core Isolators exercise listed in the 7 Week 7 Stage Core Isolators Exercise Program. 2. The user will sign-off on the Exercise Log confirming. 3. To pass the student must complete 5 entry logs. 4. Any exercise can be selected. 5. A single user can only complete two (2) logs. This means at least three (3) people are required to achieve 5 entry logs. 6. Scan and email this completed form to: [email protected] Exercise Log Entry Log # Date Name Exercise Ref Signature 1 2 3 4 5

Assessment Log

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Recording training sessions conducted.

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Page 1: Assessment Log

Certified Core Isolators Instructor Assessment

Doc: :man13_ccii_assessment_exerciselog_0413 Apr 2013

Pag

e1

Exercise Log Assessment for Certified Core Isolators

Instructor Course

First Name

Surname

Email Address

Date Submitted

Introduction:

This is a practical assessment.

The student must provide record of use of Core Isolators in an exercise environment.

The student must instruct a user to exercise on the Core Isolators.

The user must verify via this form – the Exercise Log.

Practical Assessment:

1. The student will instruct a user on a single Core Isolators exercise listed in the 7

Week 7 Stage Core Isolators Exercise Program.

2. The user will sign-off on the Exercise Log confirming.

3. To pass the student must complete 5 entry logs.

4. Any exercise can be selected.

5. A single user can only complete two (2) logs. This means at least three (3) people are

required to achieve 5 entry logs.

6. Scan and email this completed form to: [email protected]

Exercise Log

Entry Log # Date Name Exercise Ref Signature

1

2

3

4

5