BTEC SAMPLE MATERIAL
LEARNER CONSENT DECLARATION
Centre No. & Name
Subject & Level
Unit No. and Title
Learner No. & Name
I agree to the learner work identified above, after having been made anonymous, being
used to support any of the following activities, which may involve the display of work
online through the BTEC website or through publications:
• Professional Development and Training
• Centre Assessment Example Material
• Standardisation Support
• Publication Materials
Assessor Signature
Name
(block capitals please)
Job Title
Date:
Learner Signature
Name
(block capitals please)
Parent/Guardian
consent if under 16
years of age
Date
Please return the completed form and copies of the sample material to your Standards
Verifier.
BTEC Sample Material Learner Consent Declaration