REFERENCE FORM – TEACHING STAFF

Name of Applicant: Ms. Amira El Halawany

Position Applied for: ICT Teacher

Name of Referee: Ms. Sheikha El Marry Date: 02.04.2024

If you are a representative of the Applicant's current or previous employer, please complete and sign the form.
And if necessary, please provide further details on a separate sheet.

What is the name of your current

Hajar Independent School
organisation?
What position do you currently
hold?
If you are not the Head of Department, School Principal
please ensure that this reference is
countersigned by the Head of
Department.
What is your relationship to the
Was her principal
Applicant?

How long have you worked/did you

2 years
work with the Applicant?

Please confirm the Applicant's role

She was an English Teacher for KG 1 and KG 2
and/or duties.
Employment start date: Employment end date:
Please confirm the Applicant's 30/08/2015 25/08/2017
dates of employment and the name
of the organization? Name of Organisation: Hajar
Independent School

If the Applicant has ceased

employment with you, please
confirm the reason for the
termination of the Applicant's
employment.
The MOE ended the contract due to Qatarization by the government.
If the Applicant was dismissed,
please explain the reason for the
Applicant's dismissal and the
surrounding circumstances.

Needs
Please rate the Applicant against substantial
Needs
Acceptabl Outstandin
developm
developme
e
Good
g Comments
the following criteria: ent
nt

Attitude to work ✅

Passion for teaching and learning ✅

Attendance/punctuality ✅

Reliability ✅

✅
Working relationships with other
employees

Relationships with parents ✅

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transmission, alteration or reproduction of this document, or any part of it, may result in severe civil and criminal penalties,
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 Relationships with students ✅

Planning/preparation for lessons ✅

✅
Ability to implement planned
lessons effectively

Classroom management ✅

Marking and feedback ✅

Commitment to school events ✅

Extra-curricular involvement ✅

Technology competency ✅

✅
Curriculum knowledge - Early
Years/Primary or equivalent

Subject knowledge of English ✅

Subject knowledge of Maths ✅

Subject knowledge of Science ✅

Main Subject English

Subject knowledge specialist
Secondary Subject Math and Science

✘ Curriculum Coordinator

Form Tutor
Is/Was the Applicant? (please tick
relevant posts) Head of Department

Head of Year

✘ Other (please specify) English Teacher

Please confirm the number of days'

absence the Applicant took during
8 days
the final 12 months of their
employment.

Yes
*Has the Applicant been the
subject of disciplinary proceedings ✘ No
during the last 12 months of their
employment? If yes, please
provide details of the allegation(s)
against the Applicant and the
outcome of the proceedings.

Company Confidential: This document is protected by international copyright laws. Any unauthorised use, distribution,
transmission, alteration or reproduction of this document, or any part of it, may result in severe civil and criminal penalties,
and will be prosecuted to the maximum extent possible under the law.
 None
Please provide details of any
allegations or concerns that have
been raised about the Applicant
which relate to the safety and
welfare of children or young
people.

Has the Applicant been the subject

of disciplinary proceedings Yes
(including but not limited to verbal
or written warnings) involving ✘ No
issues related to the safety and
welfare of children or young
people? If yes, please provide
details of the allegation(s) against
the Applicant and the outcome of
the proceedings.

✘ Yes
With reference to the Job role, are
you satisfied that the Applicant has No
the ability and is suitable to
undertake this role? If no, please
give specific reasons for your
concern.

Yes
Based on your knowledge and
experience of the Applicant, do you ✘ No
have any reason to believe that
he/she is unsuitable to work with
children, and where applicable,
vulnerable adults? If yes, please
provide details.

✘ Yes, without reservation

Yes, with reservation

Would you be willing to re-employ
the Applicant? If no, please
No, I would not wish to re-employ
explain why.

Amira is a driven, organized teacher who develops inspiring

relationships with her students and colleagues. She is a hardworking,
passionate about what she’s doing and a reliable person. I am glad we
Please submit a summary worked together, and I love her.
paragraph to describe the
Applicant overall, or any other
comments you would like to share.

Signed:

Countersigned by Principal (if

applicable)
Date: 3-4-2024

Company Confidential: This document is protected by international copyright laws. Any unauthorised use, distribution,
transmission, alteration or reproduction of this document, or any part of it, may result in severe civil and criminal penalties,
and will be prosecuted to the maximum extent possible under the law.