SEALP Form TEST » Brauer College » A World of Opportunity

Student Name*

Enter your first name

Student Surname*

Enter your Surname

Student/Parent Mailing Address:*

Enter the Mailing address of the Student or Parent.

Student/Parent Telephone:*

Contact number of the Student/Parent.

Email:*

Email address to receive important enrolment material

Current School

Current/Last school the student has attended

Top 1%

Top 10%

Above Average

Average

Below Average

No Basis for Judgement

Academic Potential

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Academic Achievement

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Intellectual Curiosty

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Effort/Determination

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Ability to work Independently

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Organisation

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Creativity

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Willingness to take intellectual risks

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Concern for others

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Honest/Integrity

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Self-Esteem

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Maturity (relative to age)

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Responsibility

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Respected by peers

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Emotional Stability

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Overall Evaluation as a person

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Overall Evaluation as a student

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Attendance Record

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Respect towards others

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How well does this student accept criticism

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Teachers Name*

Teachers E-Mail*

Contact Phone Number*

How long have you known this child?*

If the student is relatively weak or strong in any areas listed on the previous page, please elaborate.

Please list additional information which highlights the student’s academic strengths and weaknesses, character, citizenship and contributions to your community which may be relevant in determining this child’s suitability for a SEALP program.*

Teachers Signature*

Date*