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    Induction Booklet Coagspy

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    Rob Jack
    Robert Jack is completing an induction booklet for a course with Diverse Trainers. He provides his personal details including his full name, date of birth, address, phone numbers, and email. As he is over 18, no parent/guardian details are required. He identifies his ethnic origin as White British and attaches a copy of his passport as identification. He completes a PAR-Q health questionnaire indicating he has no health issues preventing exercise. He provides consent to participate in physical activities at his own risk and provides an emergency contact. Finally, he details current qualifications and fitness activities, and the learner support contact details are provided.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Induction Booklet Coagspy

    Uploaded by

    Rob Jack
    43 views11 pages
    Robert Jack is completing an induction booklet for a course with Diverse Trainers. He provides his personal details including his full name, date of birth, address, phone numbers, and email. As he is over 18, no parent/guardian details are required. He identifies his ethnic origin as White British and attaches a copy of his passport as identification. He completes a PAR-Q health questionnaire indicating he has no health issues preventing exercise. He provides consent to participate in physical activities at his own risk and provides an emergency contact. Finally, he details current qualifications and fitness activities, and the learner support contact details are provided.

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    Robert Jack is completing an induction booklet for a course with Diverse Trainers. He provides his personal details including his full name, date of birth, address, phone numbers, and email. As he is over 18, no parent/guardian details are required. He identifies his ethnic origin as White British and attaches a copy of his passport as identification. He completes a PAR-Q health questionnaire indicating he has no health issues preventing exercise. He provides consent to participate in physical activities at his own risk and provides an emergency contact. Finally, he details current qualifications and fitness activities, and the learner support contact details are provided.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    43 views11 pages

    Induction Booklet Coagspy

    Uploaded by

    Rob Jack
    Robert Jack is completing an induction booklet for a course with Diverse Trainers. He provides his personal details including his full name, date of birth, address, phone numbers, and email. As he is over 18, no parent/guardian details are required. He identifies his ethnic origin as White British and attaches a copy of his passport as identification. He completes a PAR-Q health questionnaire indicating he has no health issues preventing exercise. He provides consent to participate in physical activities at his own risk and provides an emergency contact. Finally, he details current qualifications and fitness activities, and the learner support contact details are provided.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 11

    InductionBooklet

    LearnerName:Rob
    Jack..

    YourPersonalDetails
    Pleasecompletethefollowingfields:
    FullName:*RobertJack

    DOB:*27/05/1989

    FullAddressandPostCode:*127PennHillRoadBathBA13RU

    TelephoneNumber:*07581370297

    MobileNumber:07581370297

    EmailAddress:[email protected]

    Ifyouareundertheageof18pleaseaskyourparent/guardianwhoisover18to
    completethefollowingfields:
    FullName:*

    FullAddressandPostCode:*

    ContactNumber:*

    EmailAddress:

    Relationshiptothelearner:*

    IherbyconfirmIamover18andauthorisethelearnertoparticipatetheirchosen
    coursewithDiverseTrainers
    Signatureofparent/guardian:Date:
    ..

    EthnicOrigins

    Thefollowinginformationisrequiredinorderforustomonitorthediversityof
    applicants.
    Howwouldyoudescribeyourethnicorigin?
    White:
    BritishBritish
    Irish

    Other(Pleasestate)
    .
    Mixed:
    WhiteandblackCaribbean
    WhiteandblackAfrican
    Other(Pleasestate)

    Asian:
    Indian
    Pakistani
    Bangladeshi
    Other(Pleasestate)

    Black:
    Caribbean
    African
    Other(Pleasestate)

    Chineseoranyotherethnic:
    Chinese

    Other(Pleasestate)

    Other:

    Not
    disclosed
    Other(Pleasestate)

    LearnerIdentityForm
    Thisformmustbesubmittedatyourinduction(whichiscompletionofthis
    booklet)andanothercopyateachassessment.Pleaseplaceacopyinyour
    portfoliowiththerelevantphotocopyasrequired.Pleaseattachacopyofeither:
    AValidpassport
    AValiddrivinglicence
    NationalInsuranceNumber(IfnophotoI.D.isavailable)
    Pleasesignanddatebeforesubmittingthephotocopyofaboveandcomplete
    andsignthefollowing:
    LearnerName
    DateofBirth
    IherebydeclarethatIamthenameslearnerandthedocumentssubmittedas
    attachmentsareauthenticandvalidandaresignedanddated.
    Learnersignatureanddate
    Tutor/Assessor/IV/Coursedirector....Name&Date
    Tutor/Assessor/IV/Coursedirector....Signature&Date

    PhysicalActivityReadinessQuestionnaire(PARQ)
    formandconsentform
    Beforeanyphysicalactivityhasbegunpleasecompletethefollowing
    questionnairebytickingeitheryesorno
    Question
    Yes
    No
    Hasyourdoctoranyreasonoradvisedthatyoumaynotparticipateinany
    physicalexerciseactivity?No
    Haveyoubeeninformedbyyourdoctorthatyouhavebone,jointproblemse.g.
    arthritisthatwouldbeaggravatedormadeworsebyparticipatinginphysical
    exerciseactivity?No

    Haveyouexercisedregularlyoverthelast12monthse.g.3timesaweek?Yes

    Areyounewtoexercise?No

    Doyouhavehighbloodpressure?No

    Doyouhavelowbloodpressure?No

    Haveyoueverbeeninformedbyadoctorthatyouhaveraisedcholesterol?No

    Doyouhaveaheartcondition?No

    Haveyoueverfeltchestpainswhenundertakinganyphysicalactivitiesandor
    exercise?No

    Areyoucurrentlytakinganymedication?No

    Doyouorhaveyoueversufferedfromunusualshortnessofbreathwithmild
    exertion?No

    Doyousufferfromseveredizzinessandorfaint?No

    Areyouasthmatic?no

    Areyoudiabetic?no

    Areyouepileptic?no

    Areyoupregnant?no

    Ifyouhavehadababyinthelast6weekshasyourdoctor/midwifegivenyou
    permissiontocommenceexercising?

    Areyoutakinganymedicationfromyourdoctoratpresent?no

    Doyouknowofanyreasonwhyyoushouldnotparticipateinanyphysical
    exerciseactivities?no

    Moredetail....

    Youmayberequiredtoseekapprovalbyyourdoctorifyouhaveanswered
    `YestoanyoftheabovequestionsonthePARQform.
    WealwaysrecommendthatyouconsultwithyourG.P.priortocommencing
    anyformofexerciseregime.
    IherebydeclarethattherearenoreasonswhyImaynotparticipateinthe
    physicalactivityexercisesandIunderstandthatIamexercisingatmyownrisk
    Signature:..Date:

    InformedConsent

    IherebyconsentthatIamhealthyandabletoparticipateinanyexerciseandor
    physicalactivityandthatIunderstandthatIamparticipatingandundertaking
    allactivitiesatmyownrisk.Iunderstandthatundernocircumstancesis
    DiverseTrainersliableforanyincident,accident,healthissuethatmayoccuror
    ariseandthatIhavedisclosedallrelativeinformation.
    Name:
    Signature:.Date
    ..:

    Thewitnessmustbeover18yearsofage.
    WitnessName:
    Signature:.Date
    ..:

    Skills

    Pleasegivedetailofanyqualificationsyouhave,areworkingtowardsand
    wouldliketoachieveinthefuture.Thismayhelpuswhensupportingyou
    throughyourlearningjourneywithDiverseTrainers.
    Gainedqualificationsare:
    Qualificationsyouareworkingtowards:
    Qualificationsyouwouldliketoachieve:
    Doyoucurrentlyparticipateinfitnessactivities?Pleasestatewhattypeandhow
    manytimesaweek:

    LearnerSupport
    Youmaycontactlearnersupportbyemailortelephonebythefollowing:

    EmailAddress:[email protected]

    TelephoneNumber:0128285366
    ForalldaytimesupportcallsMondaytoFridaythehoursare:
    Morning:9.00amto12noon
    Afternoon:2pmto5pm
    Eveningandweekends:Onrequestbyprebooking
    Youmaybookaspecifictimetotalktoatutorbyprebooking.Youcandothis
    byemailinggivingthetimeanddateyouwishtocallatutororatutortocall

    you.DiverseTrainersunderstandsthatpeoplehaveveryhecticlivesand
    thereforelearnersupportisopenduringtheeveningsandweekendsforthose
    thatwishtoprebooktheirsupportcall.DiverseTrainerswillconfirmthe
    supportbookingbyemail.Shouldyouneedtocancelthebookingpleasenotify
    usatyourearliestconvenience.
    Allemailsregardingsupportwillbeansweredwithin48hours.

    Contactdetails
    Telephonenumber:01282685366
    Emailaddress:[email protected]
    Website:www.diversetrainers.co.uk
    Address:BusinessFirstCentre
    EmpireWay,Burnley
    BB126HA

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