Student Recommendation Form
STUDENT DETAILS
Name
First Name
Last Name
Date of Birth
-
Day
-
Month
Year
Date
Current Year Group
Please Select
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Year 11
Year 12
Year 13
Other
YOUR INFORMATION
Name
First Name
Last Name
Position
*
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
School name
*
Language of instruction
*
City & Country
*
STUDENT PROFILE
Academic please rate the student accordingly to:
Rows
Excellent
Good
Average
Below Average
Academic potential
1
2
3
4
Academic performance
5
6
7
8
Initiative/ motivation
9
10
11
12
Follows instructions
13
14
15
16
Listen attentively
17
18
19
20
Responds well to teacher advice
21
22
23
24
Organizational skills
25
26
27
28
Discussion skills
29
30
31
32
Character please rate the student accordingly to:
Rows
Excellent
Good
Average
Below Average
Observes school/ classroom rules
33
34
35
36
Maturity (relative to year group)
37
38
39
40
Integrity
41
42
43
44
Relationship with peers
45
46
47
48
Relationship with adults
49
50
51
52
General behavior
53
54
55
56
If you consider the student to be particularly strong or weak in any of the above, please elaborate:
How long have you known the applicant? (years)
Please describe the student's history of attendance during the past year:
Are the parents supportive of your school and school policies?
Yes
No
How would you describe the applicant's current performance in the following areas? Tick as appropriate and where applicable.
Rows
Below expected level of year group
At expected level of year group
Above expected level of year group
Mathematics
57
58
59
Science
60
61
62
English (for native speakers)
63
64
65
Does the candidate speak any other languages to your knowledge?
Yes
No
Please specify:
GENERAL INFORMATION
Has the student received any Special Education Support in the last 2 years?
Yes
No
Please specify
Does the student contribute/ participate in extra-curricular activities? (Eg. has participated in school sports team)
Yes
No
Please specify
IN SUMMARY
Please indicate the strength of your recommendation:
I recommend this student:
very strongly
strongly
comfortably
with reservations
Please elaborate:
I declare that all information provided is correct and understand that false, inaccurate or misleading information can and will result in the student's withdrawal from school.
This form is only valid if sent from a valid school e-mail address.
Signature
Date
*
-
Day
-
Month
Year
Date
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