GSS Student Leaders Referral Form (SLRF)
Please use this referral form to provide your feedback for our Student Leaders.
State Your Name & Class (For Students Only)
For students, kindly state your name and class so that we can gather more information about the referral. Teachers are not required to indicate any classes.
Name & Class of Reporting Student / Teacher
Name of Student Leader for Referral
Student Councillors (SCs)
Recognition for Acts of Service / Merit
Elaboration of Feedback
Kindly indicate the type of offence/service by the Student Leader
e.g. Offence - late for duty / had improper attire such as ankle socks
e.g. Acts of Service/Merit - took initiative to return utensils for others in the canteen after recess
e.g. Others - lost tie/badge
Kindly elaborate on your feedback of the Student Leader
Follow-up Action (to be filled in by EXCO or Teachers only)
Follow-up action taken by the EXCO member / Teacher for the Student Leader identified
e.g. Offence - 1st/2nd/3rd warning given / written reflection / referred to SL Teachers
e.g. Acts of Service/Merit - referred to SL Teachers
e.g. Others - Written statement for lost tie/badge submitted to SL Teachers
Follow-up action taken by EXCO / Teacher
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