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 Name Last Name
Email *
example@example.com
Phone Number

Area Code Phone 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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