Student Reference Form For Admission to P5 – P8

THE INTERNATIONAL SCHOOL OF AZERBAIJAN 

TISA-AIOC | c/o BP Azerbaijan 

Chertsey Road | Sunbury-on-Thames | Middlesex | TW16 7LN | UK 

Tel: (994) 12 497 30 28 | admissions@tisa.az | www.tisa.az 

The TISA Mission is to prepare students to become life-long learners and positive contributors to their local and global 

communities. TISA will prepare its students for the next stage of their education through a high quality, well-balanced 

educational programme. TISA will deliver its programme according to the universally recognised educational principles, 

practices and beliefs of the International Baccalaureate. 

Student Reference Form 

For Admission to P5 – P8 

The student whose name appears below has applied for admissions to The International School of Azerbaijan 

(TISA). This reference is an important part of the application and your cooperation in providing a full and candid 

report will be greatly appreciated. 

Please return this form directly to our Admissions Office via email: admissions@tisa.az 

Name of student: 

Current grade / 

year level: 

Name and address of school currently attended: 

Length of time working together with the student: 

The student demonstrates self discipline. 

The student follows directions 

The student responds positively to the 

challenge of academic work. 

The student is able to follow classroom 

discussions and participates willingly 

The student is able to express her/himself 

clearly and with fluency 

The student is respectful and courteous 

towards peers and adults. 

The student displays a well balanced 

temperament. 

The student is able to work independently for an 

age appropriate period of time. 

The student cooperates with other during 

group activities. 

The student exhibits age appropriate 

study habits and organizational ability. 

The student makes good friends 

Never Occasionally Usually Always 

1









High 

5 

4 3 2 Low 

1 

Social skills 

Communication skills 

Self Management skills 

Research skills 

Thinking skills 

High 

5 

4 3 2 Low 

1 

Reading comprehension 

Writing skills 

Spelling 

Mathematics 

Problem solving 

Have there been any disciplinary, emotional or other concerns regarding this student? Yes / No 

If yes, please explain. 

2









Has this student been recommended for and is she or he receiving any special education services and/or tutoring 

support: 

Learning Support 

Comments 

Speech/ Language 

English as an additional language 

Counselor’s support 

Gifted/ talented program 

Others 

Please list any conditions the student has been diagnosed with, e.g. dyslexia, dyspraxia, ADD, ADHD 

3









Does the student have any other form of learning difficulties? Yes / No 

If yes, please give further details. 

Do you have any concerns in particular about this child? Yes / No 

If yes, please give further details 

How do you think the student will manage transition to a new school? 

4









Parents involvement and support: 

Are the parents supportive of the programs and policies of the school? Yes / No 

Are the parents supportive of their child’s educational process Yes / No 

_____________________________________________________________________________________________ 

Would you like to give us further information over the telephone: Yes / No 

Name: 

Position: 

Email: 

Telephone: 

Signature: 

Best time to call: 

Date: 

5

Student Reference Form For Admission to P5 – P8

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