Academic/Personal Reference for New Student Form

Academic/Personal Reference for New Student

2026-27 New Family Applicants
Thank you for your willingness to assist with Arrow Christian Academy's application process. You have received a request to complete this reference form because of your relationship with this student. If any question is outside of your personal experience with him or her, please indicate "Not observed" or "No knowledge." All answers are received directly by Arrow Leadership and remain in strict confidentiality. Thank you for your time and honest assessment regarding this student.
Your Name*

First NameLast Name
Your Email Address*
example@example.com
Your Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Student's Name (for whom you are completing this reference)*

First NameLast Name
How long have you known this student?*

Less than 2 years2 - 5 years6 - 10 years10+ years
How often do you see/ did you see this student while he/she participated in your class, organization, or activity?*

DailyWeeklyMonthly3-4 times a yearLess frequently than above
In what capacity do/did you interact with this student? (Please describe - i.e. Teacher, Pastor, Church Leader, Athletic Coach, Tutor, Family Friend, Scout Leader, etc.)*

How would you describe this student in the following areas?*

Rows	Outstanding	Above Average	Average	Below Average	Not Observed
Participation in your class or group
Attentiveness
Respect for authority
Respect for others
Teachability
Level of honesty
Conduct

What positive attributes would this student bring to our community if accepted? Please list 2-3 below.*
Arrow is primarily a one day a week, "drop- off" homeschool program. Being that most classes meet once a week, we are looking for students who are ready for an age-appropriate classroom setting. Our desire is to keep behavioral disruptions to a minimum, and we are not equipped to accommodate severe academic/emotional needs that require modifications for individual students. In your opinion, do you believe this family and each of their applying students are a good fit for our program?*

Yes, I believe they will be a good fit.No, I have some concerns. (Please answer next question)
If you did not answer "YES" above, please explain any concerns you may have in recommending this family's admission to our program. If you have any concerns about one of their students in particular, please share here. If you have no concerns, state "no concerns."*
Do you have any additional comments or observations that will be helpful in discerning the success of this family's participation in our program? If YES, please explain. *
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