AS FILM STUDIES 
FM1 COVER SHEET FM1a 
Centre Name: . Centre Number: 
Candidate's Name: Candidate's Number: 
To be completed by the teacher/lecturer 
Comments Supporting Overall Mark 
(Refer to Level Descriptors as appropriate) Mark 
Analysis of Film Extract 
Analysis 
(30) 
Creative Project (including comments on individual role if group project) 
Sequence 
(40) 
Reflective 
Analysis 
(10) 
Total 
(50) 
TOTAL MARK (maximum 80) 
Declaration by teacher or lecturer 
I certify that the candidate has been properly supervised during the preparation of this internally assessed 
work. I also certify that the assessed work is the candidate's unaided work and to the best of my knowledge 
includes no plagiarised material. 
Signature: _____________________________________ Date: _____________________________
To be completed by the candidate 
Assignment Details Conditions for Assignment such as time taken, 
guidance given and key reference material. 
Analysis of film extract [one or more micro feature(s)] 
Film chosen: 
Micro feature(s) you are analysing: 
Title: 
Creative Project: Aims and Context 
Aim(s) of your project: 
Context: 
Role and micro aspect you are responsible for (if group): 
NOTICE TO CANDIDATE 
The work you submit for assessment must be your own. 
If you copy from someone else, allow another candidate to copy from you, or if you cheat in any 
other way, including plagiarising material, you may be disqualified from at least the subject 
concerned. 
Signature: Date: 
This form must be completed by all candidates and must be submitted with the internally assessed work of 
those candidates included in the sample for external moderation. 
GCE FM1a (AS) Form

FM1 Cover Sheet

  • 1.
    AS FILM STUDIES FM1 COVER SHEET FM1a Centre Name: . Centre Number: Candidate's Name: Candidate's Number: To be completed by the teacher/lecturer Comments Supporting Overall Mark (Refer to Level Descriptors as appropriate) Mark Analysis of Film Extract Analysis (30) Creative Project (including comments on individual role if group project) Sequence (40) Reflective Analysis (10) Total (50) TOTAL MARK (maximum 80) Declaration by teacher or lecturer I certify that the candidate has been properly supervised during the preparation of this internally assessed work. I also certify that the assessed work is the candidate's unaided work and to the best of my knowledge includes no plagiarised material. Signature: _____________________________________ Date: _____________________________
  • 2.
    To be completedby the candidate Assignment Details Conditions for Assignment such as time taken, guidance given and key reference material. Analysis of film extract [one or more micro feature(s)] Film chosen: Micro feature(s) you are analysing: Title: Creative Project: Aims and Context Aim(s) of your project: Context: Role and micro aspect you are responsible for (if group): NOTICE TO CANDIDATE The work you submit for assessment must be your own. If you copy from someone else, allow another candidate to copy from you, or if you cheat in any other way, including plagiarising material, you may be disqualified from at least the subject concerned. Signature: Date: This form must be completed by all candidates and must be submitted with the internally assessed work of those candidates included in the sample for external moderation. GCE FM1a (AS) Form