Miraaj Student Reference Form

Student Reference Form

Choose one reference to complete this form. Please choose a reference that is not family members and over the age of 18.
Your Name:*

First NameLast Name
Email*
example@example.com
Phone Number

Area CodePhone Number
Students First & Last Name*
Relationship to Student:*
How long have you known him/her?*

Please check off the best answer:*

	Top Student	Above Average	Average	Below Average	No Basis for Evaluation
Community Service/Involvement
Academic Achievement
Intellectual Curiosity
Determination/Motivation
Memorization of Quran
Islamic Studies
Leadership Ability
Concern for Others
Honesty/Integrity
Maturity (relative to age)
Responsibility
Show respect for elders
Show respect for peers
Emotional stability
Overall personal character
Overall student performance

Please add any information that will give us a complete picture of this student
Thank you for taking valuable time to complete this reference form. Your feedback is an important part of the admissions process
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