
Get the free HS Student Referral Form - Phoenix Christian Unified School
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RESPONSIVE SERVICES: REFERRAL PROCESS Student Self Referral Form (High School) Name Grade Best Hour(s) to contact me: I need to talk with you about: URGENT!!! Something private right away!!! Illness
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How to fill out hs student referral form

How to fill out a high school student referral form:
01
Start by obtaining a copy of the high school student referral form. This can usually be obtained from your school's administration office or guidance counselor.
02
Begin by filling out your personal information, including your full name, date of birth, and contact information. Make sure to provide accurate and up-to-date information to ensure proper communication.
03
Fill in the details of the referring party. This may include the name and contact information of the teacher, counselor, or administrator who is making the referral.
04
Provide information about the student being referred. This will typically include their full name, grade level, and any relevant identification numbers (such as their student ID).
05
Indicate the reason for the referral. This could be related to academic issues, disciplinary concerns, mental health concerns, or any other specific reason for seeking additional support or intervention.
06
Include a detailed description of the issue or concern. Be specific and provide as much relevant information as possible to help the recipient of the referral understand the situation.
07
If applicable, attach any supporting documents or evidence that may be relevant to the referral. This could include academic records, behavioral incident reports, or any other documentation that supports the reason for the referral.
08
Sign and date the referral form to indicate that you have completed it accurately and truthfully.
09
Make a copy of the referral form for your records before submitting it to the appropriate school personnel.
Who needs a high school student referral form:
01
High school students who are experiencing academic, behavioral, or mental health challenges may need a referral form. This could be initiated by the student themselves or by a teacher, counselor, or administrator who has identified the need for additional support.
02
School staff members may also need a referral form when they need to alert other school personnel or external agencies about a student who requires assistance or intervention.
03
Parents or guardians of high school students may need a referral form if they believe their child would benefit from additional support or if they want to request specific accommodations or services for their child's education.
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What is hs student referral form?
The hs student referral form is a document used to refer a high school student for evaluation or services.
Who is required to file hs student referral form?
School officials, teachers, parents, or guardians may be required to file the hs student referral form.
How to fill out hs student referral form?
To fill out the hs student referral form, you will need to provide information about the student's academic performance, behavior, and any concerns that may require intervention.
What is the purpose of hs student referral form?
The purpose of the hs student referral form is to identify students who may need additional support or services to succeed academically.
What information must be reported on hs student referral form?
Information such as the student's name, grade level, reason for referral, and any relevant academic or behavior data must be reported on the hs student referral form.
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