School Reference Application 2021 - Final PDF

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CUMBERLAND HIGH SCHOOL

Year 12 Reference Application Form 2021 Each Year 12 student graduating from Cumberland High School will receive a school reference written by a nominated teacher. It is your responsibility to complete this application form and return it to assist in the writing of your reference.

PART 1 Personal Details

Home Room: _______________ What school year did you enrol at Cumberland High School (eg Year 7) ______________ When was this? (eg 2016) ___________________ Nominated Teacher No 1: _____________________________________ Nominated Teacher No 2: _____________________________________ Nominated Teacher No 3: _____________________________________ PART 2 Academic Information SUBJECTS (List HSC subjects and units of study)

List any awards you have received from the school in Year 11 or Year 12 (e.g. Bronze/Silver/Gold or Medal of Excellence, special or academic awards at Presentation Day, awards at Assemblies, Honour Roll)

List major awards received in Years 7 to 10.

What academic strengths or talents do you have?

PART 3 Leadership Information What leadership positions do you currently hold or have held in the past? Include details about what you did as a leader in these groups such as the Student Representative Council, Prefects, Peer Support, Peer Mediation, Peer Tutoring, House Captain etc.

PART 4 Extra-curricular activities Tick any of the following boxes indicating your involvement in extra-curricular activities. Specify the years you were involved and provide the name of a staff member who can verify your involvement. Activity Athletics Age Champion Band Tour Blood Donor Breakfast Club Leader Chess Competition Clean Up Australia Day Team Community Mentoring Concert Band CosFest Cross Country Cumberland Cafe Debating Drama Club Duke of Edinburgh Girls Rock Band Hall Crew Knockout Basketball Knockout Cricket Knockout Hockey Knockout Netball Knockout Soccer Knockout Softball

Year/s

Staff Member

Knockout Touch Football Knockout Volleyball Law Society of NSW Mock Trial Competition Library Work Experience/Assistance MAD Maths Competition Metro Minds Steam Challenge Mock Trial NSW Secondary Principals Conference MC Open Night Catering Open Night Volunteer PBL Leadership Team Remembrance Day Presenter Rock Band School Representative at ANZAC Dawn Service Science Inspire Team (Community of Schools) String Ensemble Swimming Age Champion Vocal Ensemble Wauchope Participant Other Other PART 5 Additional Information List any sporting and / or extra-curricular activity achievements.

What personal qualities do you have? Include examples of how you have demonstrated these qualities at Cumberland High School.

Outline any other information that could help the teacher writing your reference.

PART 6 Highlight the comments below that reflect your personal qualities that you believe should be included in your reference.

Mature and sensible

Trustworthy, honest

Shows self-discipline

Neat appearance

Punctual to class

Co-operative

Shows initiative

Homework completed

Considerate of others

Popular with peers

Looks for extra work

Responsible behaviour

Confident

Eager to do well

Neat presentation of work

Pleasant and polite

Works without supervi sion

Good oral skills

Conscientious

Works to the best ability

Well organised

Well mannered

Works to a high standard

Displays leadership skills...