London East Academy and Al Mizan School

London Muslim Centre (2nd floor)
46 Whitechapel Road,
London E1 1JX

Tel: 020 7650 3070

Email: admin@eastlondonmosqueschools.co.uk


Pre Admission Information Request - School

(to be filled out by teacher)

please enter the student name

please enter the school

Please mark as appropriate:

1. Excellent  2. Very Good  3. Good   4. Satisfactory   5. Poor

Description Level Detail
Attendance
please enter the attendance level
please enter the details
Punctuality
please enter the punctuality
please enter the details
Behaviour
please enter the behaviour
please enter the details
Relationship with peers
please enter the relationship with peers
please enter the details
Relationship with staff
please enter the relationship with staff
please enter the details
Motivation
please enter the Motivation
please enter the details
Academic Ability
please enter the academic ability
please enter the details
Participation in class
please enter the participation in class
please enter the details
He/She is currently working at the following levels:
select the checkbox
(Specify as appropriate Working Towards(WT), Working at Expected(WE), Working Beyond(WB))
Has the student ever been excluded / expelled or suspended from school?
please select

Reason:
please fill

Does the student have a statement of special needs?
select yes or no

Is the student on a SEN Register?
select yes or no

Is the student on a Child Protection plan?
select yes or no

Please supply Unique Pupil/Candidate Number(UPN) for the student here:
please fill

I certify that the above student is enrolled with this school.

Name of Teacher:
please fill
please fill
please fill

Seal / Stamp of the School

please fill