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Student Referral to C.B.I. Program Xenia High School Please Print (Use blue or black ink) Student Name: Date Address City Home Phone: Age Birth Date Grade Parents/Guardians: Mother Father Student
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How to fill out student referral to cbi

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How to fill out a student referral to CBI:

01
Start by gathering all necessary information about the student, such as their name, student ID number, and contact information.
02
Include the reason for the referral, whether it is due to disciplinary issues, academic concerns, or any other relevant factors.
03
Clearly state the date and time of the referral, as well as the name of the person making the referral.
04
Provide details about the incident or behavior that prompted the referral, being as specific as possible.
05
Include any supporting documentation or evidence, such as witness statements or relevant records, if available.
06
If the referral is related to a specific class or teacher, mention the course name and instructor's full name.
07
Finally, sign and date the referral form before submitting it to the appropriate CBI office or official.

Who needs student referral to CBI:

01
Principals or administrators: School officials may refer students to the CBI when they believe that the student's behavior infringes upon school policies or requires intervention beyond their authority.
02
Teachers or counselors: Educators and guidance counselors may refer students to the CBI if they are concerned about the student's academic progress, personal well-being, or disruptive behavior in the classroom.
03
Parents or guardians: Parents or legal guardians can request a student referral to CBI if they believe their child requires additional support or intervention to address specific issues affecting their education or personal development.
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Student referral to cbi is the process of referring a student to the Child Behavior Intervention program for additional support and intervention.
Teachers, school counselors, or other school staff members may be required to file a student referral to cbi if they believe a student may benefit from the program.
To fill out a student referral to cbi, the referring individual must complete the necessary paperwork provided by the school or district, detailing the student's behavior and reasons for the referral.
The purpose of student referral to cbi is to provide additional support and intervention for students who may be experiencing behavioral challenges that impact their academic success.
Information reported on student referral to cbi may include the student's name, grade level, specific behavioral concerns, previous interventions attempted, and any other relevant information.
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