Middle Years and Middle School Student Reference Form

Your cooperation in completing this reference form for Baymonte Christian Middle School is greatly appreciated. All information will be held in strict confidence.

Reference Name*
Your First Name Last Name
Applicant's Name & Grade Level*
Applicant’s First Name Last Name Grade
Relationship to applicant
How long have you known the applicant? In what role?
What is the greatest strength of the applicant?
Where do you see the most room for growth in the applicant?
What factors in the applicant's home life would help or hinder his/her success at Baymonte Christian?
What is the applicant's attitude toward authority and rules?
Do you have full confidence in the applicant's integrity?
If not, please explain:
Do you have any additional information that would help us to meet the needs of this student?
From what you know, would you recommend this student for Baymonte Christian?
Is there any information that would be better communicated by phone?
- YES
- NO
The best number and days/times to reach me are:
Please indicate your opinion of the applicant’s behavior and attitudes by choosing the best answer for each characteristic below.
ACADEMIC ACHIEVEMENT
PERSONAL INTEGRITY
INTELLECTUAL CURIOSITY
EMOTIONAL MATURITY
CONCERN FOR OTHERS
CONDUCT
RELATIONSHIP WITH PEERS
RELATIONSHIP WITH ADULTS
I have filled out this middle school reference form to the best of my ability.
Signature (by typing your name below, you are signing this reference form electronically)

Middle Years and Middle School Student Reference Form

Please indicate your opinion of the applicant’s behavior and attitudes by choosing the best answer for each characteristic below.