Reference Check

Step 1 of 2

You have been nominated to provide a reference for an applicant to SPELD NSW Tutor or Professional Membership. As a nominated referee please take some time to complete the following questions

(It should take no more than 5 to 10 minutes in total)

First Name of SPELD NSW Tutor/ Professional Member applicant(Required)

Last Name of SPELD NSW Tutor/Professional Member applicant(Required)

How long have you known this person for ?(Required)

Please state the current and/or past nature of your relationship with this applicant e.g. previous line manager, colleague, friend etc.(Required)

Your First Name(Required)

Your Last Name(Required)

Your current role / profession

Your Email address(Required)

The applicant has worked with students in the following year levels (please select all that you have directly observed): *

The applicant has worked with students in the following Year levels (please select all that you have directly observed):

Notes

EXPERIENCE: In your opinion, please rate the applicant’s EXPERIENCE levels (amount and depth) in supporting students or delivering programs in the following areas

Reading(Required)

Spelling(Required)

Phonics(Required)

Written Expression(Required)

Mathematics(Required)

Behaviour(Required)

Comments / Notes:

SKILLS & KNOWLEDGE: In your opinion, please rate the applicant’s KNOWLEDGE and/or SKILLS in the following areas *

Developing students' literacy skills(Required)

Developing students' numeracy skills(Required)

Use of evidence-based programs(Required)

Planning a one-on-one or small-group intervention(Required)

Writing skills e.g. letters/emails or documented plans(Required)

Assessing student's learning needs e.g. through the provision of standardised assessments or screening tests)(Required)

Preparation of assessment reports(Required)

Building good relationships with students(Required)

Managing student behaviour(Required)

Communicating with teaching staff or other professionals(Required)

Communicating with parents / families(Required)

Ability to work independently(Required)

Conflict resolution(Required)

Comments / Notes:

Overall, how would you rate this applicant’s SKILLS and KNOWLEDGE in working with students with learning difficulties or disabilities *

1 – VERY WEAK i.e. needs a lot of additional training and / or support
10 – EXPERT i.e. very strong skills, knowledge, and broad experience working in this area

Overall, how would you rate this applicant's SKILLS and KNOWLEDGE in working with students with learning difficulties or disabilities *(Required)

I would recommend this applicant for SPELD NSW Tutor/ Professional Membership *

I would recommend this applicant for this position(Required)

Strongly Disagree

Disagree

Agree

Strongly Agree

In your opinion, can you identify any areas which may need to be addressed in order for the applicant to successfully become a Tutor or Professional Member of SPELD NSW and provide intervention and/or assessments to children and adults with specific learning difficulties?(Required)

Do you have any additional information or comments which may assist us?

Learn, Grow and Thrive with SPELD NSW

Reference Check

You have been nominated to provide a reference for an applicant to SPELD NSW Tutor or Professional Membership. As a nominated referee please take some time to complete the following questions

The applicant has worked with students in the following year levels (please select all that you have directly observed): *

EXPERIENCE: In your opinion, please rate the applicant’s EXPERIENCE levels (amount and depth) in supporting students or delivering programs in the following areas

SKILLS & KNOWLEDGE: In your opinion, please rate the applicant’s KNOWLEDGE and/or SKILLS in the following areas *

Overall, how would you rate this applicant’s SKILLS and KNOWLEDGE in working with students with learning difficulties or disabilities *

I would recommend this applicant for SPELD NSW Tutor/ Professional Membership *

InfoLine (02) 9739 6277

Phone (02) 9739 6277

Email enquiries@speldnsw.org.au

Location Suite 2, Level 1, 52 O'Connell St, Parramatta NSW 2150

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