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REFERRAL TO SCHOOL COUNSELLOR For completion by PARENT / CAREGIVER / TEACHER Students Name: Privacy Notice: This information is being obtained to assist the School Counsellor in providing support
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How to fill out referral to learning support

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How to fill out referral to learning support

01
To fill out a referral to learning support, follow these steps:
02
Start by gathering information about the student including their name, grade level, and any previous interventions or accommodations that have been tried.
03
Clearly state the reason for the referral, such as identifying academic or behavioral difficulties that the student is experiencing.
04
Describe the specific observations or assessments that have led to the decision to make the referral.
05
Provide any additional supporting documentation or evidence, such as test scores or behavior logs.
06
Indicate what type of support or intervention is being requested, whether it is additional instruction, counseling services, or an evaluation for a learning disability.
07
Include information about the student's strengths and interests, as well as any relevant family or cultural considerations.
08
Ensure that all necessary consent forms are included with the referral, if applicable.
09
Submit the completed referral to the designated learning support coordinator or appropriate staff member.
10
Follow up on the referral to ensure it is being processed and that appropriate actions are being taken.

Who needs referral to learning support?

01
A referral to learning support may be needed for students who are experiencing academic or behavioral difficulties that are impacting their ability to succeed in the classroom.
02
This can include students who are struggling with reading, writing, math, attention, organization, or social and emotional skills.
03
Referrals may also be appropriate for students who have already received interventions or accommodations in the general education setting but require additional supports.
04
The need for a referral should be determined on a case-by-case basis, in consultation with the student's teachers, parents or guardians, and any other relevant professionals.
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Referral to learning support is a process by which educators or professionals identify students who may require additional assistance or resources to improve their learning outcomes.
Typically, teachers, school administrators, or educational staff who observe that a student is struggling may be required to file a referral to learning support.
To fill out a referral to learning support, one must complete a designated form, providing details about the student's specific challenges, observations, and any interventions attempted prior to the referral.
The purpose of referral to learning support is to ensure that students receive the necessary assistance to address their learning difficulties, enabling them to succeed academically.
The referral must include information such as the student's personal details, description of the learning issues, prior interventions, and support needed.
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