WBL Personal Statement Template

Click here to enter

Name: Click here to enter applicant name. Membership No: number.
Example
Competency e.g. 1 Learning Outcome e.g. 1.1
Number
Click here to enter
Choose a competency. Click here to enter the Learning Outcome.
example number.

Reason why you cannot provide evidence

Explain in your own words how you have met the Outcome by using an
example from your work (without evidence)

Reflection and evaluation

Describe what you learnt from the activity you undertook to meet the Learning Outcome. You may want
to complete this section at a later date once you have had time to reflect on your practice and
experience.

Date work undertaken:

Applicant’s Name Applicant’s signature

I confirm that I undertook the work referred to in this Date
Please print name Personal Statement

Supervisor’s Name Supervisor’s signature

I confirm that I supervised the applicant’s work referred Date
Please print name to within the Personal Statement

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