Canadian International School

CIS Admission - Counsellor/Leadership form

This brief reference form is intended to capture the holistic thoughts about a prospective CIS student, currently going through the admission process. It is not meant to be used to restrict entry, but to provide information that might be helpful in supporting student transition, particularly in terms of social-emotional wellbeing.

CIS is particularly interested in character traits, which are often neglected in the admission process, where academic competency is typically highlighted.

Your feedback is appreciated.

Student Name

Title

First

Middle

Last

Suffix

Preferred Name

Your Name

Title

First

Middle

Last

Suffix

Preferred Name

Your Email Address

Please select your role while knowing this student who is considering admission at CIS.

Please specify your role

How long have you known this student?

How well do you know this particular student, (including having insight into their character)?

This student's collaborative practice, (listens, contributes, leads, positive mindset in teams, being caring), is best described as

This student's reflective thinking (seeking and applying feedback, identifying strengths, and areas for growth), is best described as

This student's resilience (focus and response during/to challenges, ability to see mistakes as learning opportunities, and attendance), is best described as

This student's contribution to school community learning, (demonstrating initiative, service, caring, tolerance, flexibility, commitment to others), is best described as

This student's sense of comfort and maturity when adapting to routines, and or changes in routines, including experiential learning field trips away from family, is best described as

To your knowledge, has the student been on any Tier II or Tier III Intervention Plans? Tier II Interventions are short term (6-8 week) plans that target specific issues; Tier III Plans are formalized IEP or 504 Individual Education Plans (IEPs) designed to address long term learning or physical issues.

Please specify

Briefly describe any additional strengths of this student's holistic approach to learning and impact on the learning community.

If you are aware of any Tier II or Tier II Interventions, please describe them here or provide contact information for the person/people who have firsthand knowledge of these plans.

Briefly describe any additional challenges and areas that need strengthening in terms of this student's holistic approach to learning and impact on the learning community.

Please indicate the strength of your recommendation by checking the most appropriate response

Please share narrative details of your recommendations on intervention plans including any specific kudos and/or support strategies that you recommend for CIS, should the student admission proceed.

Is there any child protection or welfare concerns relating to the child or children listed so that, with this information, we may take measures to provide ongoing care and monitoring.

Yes No

Please specify

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