SJA Student Reference Form

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Dear Reference,

We are grateful for your time in filling this form out with accuracy and thoughtfulness. Your frank and honest perspective regarding a potential new student will help us determine how we can best serve our students. If you have more that you feel you should say, please feel empowered to contact us at the school and add whatever notes you think would be valuable in addition to what you put on this form.

A minimum of three of these forms is required for new students entering Sandpoint Junior Academy (One character reference, one educational reference, and one spiritual reference)

Name of the Student (first and last) *

What is your relationship to the student? *

Current/Former Teacher

Pastor/Chaplain

Childcare Provider

Family/Friend

Other:

How long have you known the student? *

Less than 1 year

1-2 years

3-5 years

6+ years

When was your last interaction with the student? *

Currently interact with student regularly

Several months ago

A year ago

2+ years ago

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