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Get the free STUDENT REVIEW & CONSULTATION COMMITTEE (SRCC) REFERRAL FORM - ohio

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This form allows individuals in the Ohio University or Athens community to refer students who may be displaying distressed or disruptive behavior for review and appropriate action by the SRCC committee.
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How to fill out student review consultation committee

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How to fill out STUDENT REVIEW & CONSULTATION COMMITTEE (SRCC) REFERRAL FORM

01
Start by entering your full name and student ID at the top of the form.
02
Provide your contact information, including your email address and phone number.
03
Fill out the section detailing the reason for the referral, being as specific as possible.
04
Include any relevant academic information, such as current courses and grades.
05
Describe any previous consultations or interventions that have taken place.
06
Attach any supporting documentation that may assist the committee in understanding your situation.
07
Review the form for completeness and accuracy before submission.
08
Submit the form to the designated office or committee as per the provided instructions.

Who needs STUDENT REVIEW & CONSULTATION COMMITTEE (SRCC) REFERRAL FORM?

01
Students who are experiencing academic difficulties or personal issues that may impact their studies.
02
Students seeking support or resources from the Student Review & Consultation Committee.
03
Any student who has been advised to seek help by faculty or academic advisors.
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The STUDENT REVIEW & CONSULTATION COMMITTEE (SRCC) REFERRAL FORM is a document used to refer students for additional support and intervention regarding academic, behavioral, or mental health concerns.
Teachers, counselors, or any school staff who have concerns about a student's performance or well-being are required to file the SRCC REFERRAL FORM.
To fill out the SRCC REFERRAL FORM, provide the student's personal information, describe the specific concerns, outline any interventions already attempted, and include recommendations for further support.
The purpose of the SRCC REFERRAL FORM is to ensure that students who may need additional assistance receive timely reviews and appropriate interventions to support their academic and personal development.
The information that must be reported includes the student's name, grade, specific concerns observed, previous interventions, and any relevant background information that may assist the committee in their review.
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