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Student of Concern Referral Form Use this form to notify the Student Threat Assessment Response Team (START) promptly of student incidents of concern. Student of Concern Identification Information
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How to fill out student of concern- referral

01
Start by gathering all relevant information about the student, such as their name, contact information, and any previous incidents or concerns.
02
Begin filling out the referral form by providing the student's personal details, including their name, student ID, and grade level.
03
Clearly describe the reason for concern or the specific incident that prompted the referral.
04
Provide any supporting evidence or documentation, such as witness statements, photographs, or previous disciplinary records.
05
Indicate any immediate actions taken to address the concern, such as notifying parents, involving the school counselor, or implementing a behavior plan.
06
Include any additional information that might be relevant to help address the student's concerns or provide context for the referral.
07
Double-check all the information provided for accuracy and completeness before submitting the referral form.
08
Follow any specific procedures or protocols set by the school or educational institution for submitting the student of concern-referral.

Who needs student of concern- referral?

01
Teachers: Teachers who notice troubling behavior, academic decline, or emotional struggles in a student may need to fill out a student of concern-referral to ensure that the necessary support and interventions can be provided.
02
Counselors: School counselors who receive reports or concerns about a student's well-being or safety may need a student of concern-referral to document and address the issues appropriately.
03
Administrators: School administrators may require student of concern-referrals to initiate disciplinary actions, develop intervention plans, or involve external support services.
04
Parents or Guardians: Parents or guardians who have concerns about their child's well-being, safety, academic performance, or behavior may need to request a student of concern-referral to seek assistance and support from the school.
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A student of concern referral is a report filed when a student's behavior raises red flags and indicates they may need additional support or intervention.
Faculty, staff, or members of the school community who have concerns about a student's well-being or behavior are required to file a student of concern referral.
To fill out a student of concern referral, the individual making the report must provide details about the student, their behavior, and any relevant incidents that have raised concerns.
The purpose of a student of concern referral is to ensure that students who may be struggling or in need of support receive the help they need to thrive academically and emotionally.
Information that must be reported on a student of concern referral includes the student's name, behavior of concern, any relevant incidents, and any other information that may be helpful in providing support.
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