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BSAMUN
Firefly
Year One Reference
Step
1
of
6
16%
Child's Details
Child's Name
*
First
Last
Name of child's current school
*
Address of child's current school
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Current year group
*
Dates of enrolment at current school
*
Personal, Social and Emotional Development
Shows independence and self care
*
Improvement needed
Satisfactory
Good
Excellent
Limited experience
Follows directions
*
Improvement needed
Satisfactory
Good
Excellent
Limited experience
Communicates well with adults
*
Improvement needed
Satisfactory
Good
Excellent
Limited experience
Communicates well with peers
*
Improvement needed
Satisfactory
Good
Excellent
Limited experience
Works well in a group situation
*
Improvement needed
Satisfactory
Good
Excellent
Limited experience
What does the child particularly enjoy?
*
Has the child ever been recommended for/received extra support?
*
Yes
No
If yes, please explain and include IEPs where appropriate.
*
Tick the boxes that describe the characteristics of the child.
*
Confident
Creative
Capable
Conscientious
Caring
Verbal communicator
Sporty
Musical
Artistic
English Reading
Can use phonic knowledge to spell cvc and cvcc words
*
Limited experience
Basic
Good
Excellent
Support required
Can read high frequency words on sight
*
Limited experience
Basic
Good
Excellent
Support required
Can use pictures to help decode unknown words
*
Limited experience
Basic
Good
Excellent
Support required
Can retell a story in own words
*
Limited experience
Basic
Good
Excellent
Support required
Can relate reading to own experiences
*
Limited experience
Basic
Good
Excellent
Support required
Please provide details if you selected additional support required
*
Reading scheme used and level
*
Writing
Can use phonic knowledge to sound out cvc and cvcc words
*
Limited experience
Basic
Good
Excellent
Support required
Can spell high frequency words accurately
*
Limited experience
Basic
Good
Excellent
Support required
Can use capital letters and full stops
*
Limited experience
Basic
Good
Excellent
Support required
Can retell a story using a sequence of simple sentences
*
Limited experience
Basic
Good
Excellent
Support required
Can form most letters correctly
*
Limited experience
Basic
Good
Excellent
Support required
Independent writing level
*
Does not write independently
Can write single words
Can write one or two sentences
Can write extended pieces of text
Please provide details if you selected additional support required
*
Mathematics
Can count a set of up to 20 objects
*
Limited experience
Basic
Good
Excellent
Support required
Can say the number one more or one less than any given number
*
Limited experience
Basic
Good
Excellent
Support required
Can use, read and understand operation signs (+ , - , = )
*
Limited experience
Basic
Good
Excellent
Support required
Can add and subtract one digit numbers to 20
*
Limited experience
Basic
Good
Excellent
Support required
Can add and subtract two digit numbers to 20
*
Limited experience
Basic
Good
Excellent
Support required
Can understand and use the vocabulary: equal to, more than, less than, fewer, most, least
*
Limited experience
Basic
Good
Excellent
Support required
Please provide details if you selected additional support required
*
Relationship with pupil
How long have you known the pupil?
*
How long has the pupil attended your school?
*
Has the child ever been assessed by or referred to a professional?
*
Yes
No
If yes, please give further details and attach any relevant reports such as an education/clinical psychologist report, speech and language therapist report, occupational therapist report.
*
Referee details
Name of referee
*
First
Last
Position held
*
Email
*
Phone
*
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