Nzqa Video Evidence Cover Sheet

MODERATION: VISUAL EVIDENCE COVER SHEET (The completed cover sheet must be sent with your video submission)

Subject/ Moderation system: _____________________________________________ School/ Provider name:  _______________________________________________

Use this checklist to prepare your visual submission of evidence -

Only the performances to be moderated are on the submission

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Candidates are identified by (method) _________________________________________________________

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Standard VHS or CD-R/DVD-R format has been used

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The videotape, CD or DVD is previously unused

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The submission is adequately packaged

Notes Please explain any aspect of the submission the moderator should be aware of: _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________

STUDENT IDENTIFICATION ON VISUAL SUBMISSIONS This form is to be used to identify students on visual/photographic evidence for performance subjects e.g. Drama. A separate form is to be used for each student and attached as evidence. All submissions must be in VHS standard format or CD-R or DVD-R.

School Name: __________________________________________________________ Subject: _______________________________________________________________ Achievement Standard No: _______________________________________________ Unit Standard No: ___________________________ Element No: ________________ Student Name:__________________________________________________________

Means of identification e.g. clothing, position in group: _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ Other Considerations: _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________