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Students studying under Squirrel Hall, a wooden structure in the grounds of The King Alfred School

Home|Confidential Reference Request for Upper School Occasional Place

Confidential Reference Request for Upper School Occasional Place

Name of Student *

Date of Birth *

Current School and Entry Date *

General academic achievement *

Excellent
Above Average
Average
Below Average
Poor

Oral contribution to lessons *

Excellent
Above Average
Average
Below Average
Poor

Ability to express themselves in writing *

Excellent
Above Average
Average
Below Average
Poor

Ability to grasp new concepts *

Excellent
Above Average
Average
Below Average
Poor

Ability to demonstrate independent working *

Excellent
Above Average
Average
Below Average
Poor

Imagination and Creativity *

Excellent
Above Average
Average
Below Average
Poor

Reading ability and level *

Excellent
Above Average
Average
Below Average
Poor

Short-term memory *

Excellent
Above Average
Average
Below Average
Poor

Long-term memory *

Excellent
Above Average
Average
Below Average
Poor

Ability to follow instructions *

Excellent
Above Average
Average
Below Average
Poor

Ability to concentrate *

Excellent
Above Average
Average
Below Average
Poor

Ability to work cooperatively in a group *

Excellent
Above Average
Average
Below Average
Poor

Social Integration *

Excellent
Above Average
Average
Below Average
Poor

Does this student have any specific educational needs? If so please outline below: *

Has this student received any form of learning support? If so please outline: *

Are there any education or health reports on this student? If so, please outline and provide a copy if possible *

Please comment on the student's personal qualities including conduct, confidence, motivation, initiative. *

Please comment on their relationships with peers and staff: *

Please comment on the student's behaviour for learning: *

Please comment on the student's contribution and interest in music, drama, sport and similar activities: *

Signature *

Clear Signature

Please sign above

Full name and position in school and date *

Where Next?

Reception - Year 6

student in class

Year 7 - Year 11

photography students

Year 12 - Year 13

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The King Alfred School
North End Road, London NW11 7HY
Tel: 020 8457 5200
Email: kas@kingalfred.org.uk

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Join our Upper School

The application deadline for Year 7, 2027, is Thursday, 24 September.

Want to find out more about our school, where every student feels seen, known and understood?

Come along to our Upper School Open Morning on Thursday, 17 September.