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Student Status
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Student Submissions
Student Name
Jack Randell
For office use only
Student CRN
Student Email
Support Type
24598504958-04985-0939598
SM
Invoice Number
Company Name
Funding Body
Attended Sessions
Location
On the bus
Mode of Delivery - Please
state face to face or remote
Sign language
Date of session
11-12-2025
Start Time - (HH:MM)
14:30
Finish Time - (HH:MM)
16:30
Total Breaks - (HH:MM)
Total Hours
0 Minutes
2 Hours
Support Worker - Name
Angela Sargeant
Support Worker - Signature
This signature is for the support worker to sign.
Student - Signature
This signature is for the student to sign.
* Breaks - Support provided for more than 8 consecutive hours are expected to include a break. Breaks must be recorded in 15 minute blocks. 'Comfort' breaks taken during shorter sessions do not need to be declared.
Missed or Cancelled Session
Only chargeable missed/cancelled sessions should be included in this section. To ensure we process the invoice in a timely manner, please state the date and time when you were informed by the student that the session was cancelled along with the reason for cancellation. For non-attendance, please enter "NA" into the Date and Time informed box below.
Reason
Date
Start Time (HH:MM)
Finish Time (HH:MM)
Total Hours
Date and Time Informed