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LC CTC CONFIDENTIAL STUDENT ASSISTANCE PROGRAM REFERRAL Student Name: Address: School District: DOB:Referral Date: Phone: Program: Sex & Gender Preference: REASON(S) FOR REFERRAL TO SAP TEAM: Please
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Individuals who are referring a student for Student Assistance Program (SAP) services at LCCTC
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211201-sap-referral-form-lcctc-10-1-21pdf is a SAP referral form used by LCCTC.
Employees who have a Substance Abuse Policy violation at LCCTC are required to file the form.
The form should be completed with details of the Substance Abuse Policy violation and signed by the employee.
The purpose of the form is to document and process Substance Abuse Policy violations at LCCTC.
The form requires details of the violation, employee information, and signatures.
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