Referral to the Learning Support Specialist

About Who We Are

About QAIS	Purpose and Direction
Amerasia Inspiration	Curricular Focus
Director’s Welcome	Accreditation & Authorization Timeline
International Mindedness	School Profile

QAIS: Qingdao Amerasia International School (QAIS) serves students from 18 months to 18 years old through a holistic, child-centered, inquiry-based approach. With students and staff from more than 30 different countries, students are engaged in a dynamic, culturally rich environment that fosters global citizenship and international mindedness.

TEACHING & LEARNING How We Organize Ourselves

How We Organize Ourselves: Cultivating an inclusive and vibrant community that promotes knowledge, creativity, independent thinking and mutual respect in a nurturing and safe environment.

INTERNATIONAL MINDEDNESS Beyond the Classroom

GLOBAL CITIZENSHIP	iConnect AND TEDx
COLLEGE COUNSELING	PHOENIX ART ACADEMY
AMERASIA GLOBAL YOUTH SCHOLARSHIP	DONATIONS AND SUPPORT

Beyond the Classroom: Provides opportunities for self-determination, perseverance, problem-solving, decision-making, and collaboration with others, fostering a sense of accomplishment and enjoyment from their work.

JOIN US! Our Vibrant Community

contact Welcome To Qingdao Amerasia International School

How to Reach Us

E-mail : info@QingdaoAmerasia.org

Tel : (+86 532) 8388-9900

Add : Baishan Campus, Dongjiang, Shazikou, Laoshan District, Qingdao, China 266102

Referral to the Learning Support Specialist

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Date
MM slash DD slash YYYY
Referring Teacher Name*
First Last
Email*
Section Break
Student Name*
First Last
Grade*
Areas of Concern
1. Please be as specific as possible. This information will be used in assisting with the evaluation process.
2. Check major areas of concern and briefly describe the child’s behavior or performance in each area checked. If you have identified more than one area of concern, circle the area you consider to be the highest priority.*
- Academic
- Social/Emotional
- Gross/Fine Motor
- Affective (activities of daily living)
- Health Related
- Behavior
- Communication
- Other (specify below)
A. Describe Specific Concerns*
B. Describe any alternative strategy used and its outcome*
C. How often does the student’s area(s) of concern prevent him/her from being successful in class (i.e. rarely, occasionally, often, every day, etc.). Provide any additional information on the lines provided below.*
D. Do you believe the student in question requires a conversation with the Learning Support Specialist, inclusion support, or pull-out support? Explain below.*
E. Describe any additional information you believe may help us provide this student with the best learning environment possible.*