Get the free Smokeless Saturday Student Referral Form

Smokeless Saturday Student Referral Form Date: Students Name: School: County: Referred for (circle all that apply): CigarettesCurrent Grade: ECigarettesSmokeless TobaccoOther: Parent/Guardian Name:

How to fill out smokeless saturday student referral

How to fill out smokeless saturday student referral

1. To fill out the smokeless Saturday student referral, follow these steps:
2. Start by obtaining the referral form from the designated authority.
3. Fill in the necessary details, including the student's name, school, and contact information.
4. Indicate the reason for the student's referral to the smokeless Saturday program.
5. Provide any additional relevant information or observations about the student.
6. Obtain the required signatures from the referring authority and the student's parent or guardian.
7. Submit the completed referral form to the designated department or individual responsible for processing.
8. Keep a copy of the referral form for your records.

Who needs smokeless saturday student referral?

1. The smokeless Saturday student referral is needed for students who meet the criteria for participation in the smokeless Saturday program.
2. This program is typically targeted at students who may be at risk of substance abuse or engaging in unhealthy behaviors.
3. The referral helps identify and support these students by providing them with an opportunity to participate in educational and preventative activities on Saturdays.
4. Referrals can be made by teachers, school counselors, administrators, or any other authorized personnel who have identified a student in need of intervention.

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What is smokeless saturday student referral?

Smokeless Saturday Student Referral is a program that encourages students to engage in activities that promote a smoke-free environment and lifestyle, typically by referring peers to participate in educational or awareness-building events.

Who is required to file smokeless saturday student referral?

Students who participate in smokeless Saturday events and those who refer their peers to these events are required to file a smokeless Saturday student referral.

How to fill out smokeless saturday student referral?

To fill out a smokeless Saturday student referral, students should complete the designated referral form with their details, including the names of the peers they are referring, and submit it to the appropriate school or program office.

What is the purpose of smokeless saturday student referral?

The purpose of smokeless Saturday student referral is to promote a healthy lifestyle among students by encouraging smoke-free habits and informing them about the dangers of smoking.

What information must be reported on smokeless saturday student referral?

The referral must include the referring student's name, contact information, names of the students being referred, and any relevant details about the events or programs related to smokeless Saturdays.