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School Counseling Referral Form (Complete all information & return to School Counselor)Student: Referred by: Grade: Parent/Guardian(s): Date of referral: P/G Phone #: Student D.O.B. P/G Email: Reason
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How to fill out school counselor referral form

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How to fill out school counselor referral form

01
Start by downloading the school counselor referral form from the school's website or obtaining a physical copy from the school office.
02
Fill out the student's personal information section, including their full name, grade level, and contact details.
03
Provide a brief description of the reason for referral in the appropriate section. Be concise but provide enough information to convey the nature of the concern.
04
Fill out any additional sections or checkboxes that pertain to the specific concerns or needs of the student.
05
If there are any relevant documents or reports that should accompany the referral, make sure to attach copies to the form.
06
Sign the form and include the date of completion.
07
Submit the filled-out referral form to the school counselor or the designated submission location as instructed.
08
Keep a copy of the completed referral form for your own records.

Who needs school counselor referral form?

01
The school counselor referral form is typically needed by students, parents, teachers, or any concerned individuals who recognize the need for professional counseling or support for a student. It may be used when a student is struggling academically, socially, emotionally, or behaviorally and requires the assistance of a school counselor.
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The school counselor referral form is a document used to refer students to the school counselor for assistance with academic, social, or emotional concerns.
Teachers, parents/guardians, or other school staff may be required to file the school counselor referral form if they believe a student would benefit from counseling services.
The school counselor referral form can be filled out by providing the student's name, grade, reason for referral, and any relevant background information.
The purpose of the school counselor referral form is to officially request support and intervention from the school counselor for students in need.
The school counselor referral form should include the student's personal information, reason for referral, any relevant concerns or observations, and the contact information of the person making the referral.
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