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Champions Inspire Activity Record Sheet for Individual Learner Interventions

Champions Inspire Community Learning Champions are asked to use this simple online form to keep a record of their one-to-one interventions with one learner.

Simply complete a box or click on a button as appropriate. Then click the submit button at the bottom of the page once you have completed all sections.

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1. Learner contact details
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2. Record of intervention
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3. Information about this learner (Note: This information will be anonymous and will be detached from the learner’s record)
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