Get the free School Counselor Referral Form

This form is used by parents or guardians to refer a student for counseling services in Washington Grade School District #52. It collects information about the student, their concerns, and any interventions already attempted.

How to fill out school counselor referral form

How to fill out school counselor referral form

1. Begin by entering the student's name at the top of the form.
2. Include the student's ID number, if applicable.
3. Indicate the reason for the referral, being specific about the issues or concerns observed.
4. Provide details about the student's academic performance and behavior.
5. List any relevant background information that may help the counselor understand the situation.
6. Include your name, position, and contact information in the appropriate sections.
7. Review all information for accuracy and completeness before submitting the form.

Who needs school counselor referral form?

1. Students who are experiencing academic, emotional, or behavioral issues that require support.
2. Teachers or staff members who have observed concerning behaviors in a student.
3. Parents or guardians who seek additional support for their child's development or well-being.

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What is school counselor referral form?

The school counselor referral form is a document used to initiate a referral to a school counselor, typically for students who may require additional support or services related to their academic, emotional, or social well-being.

Who is required to file school counselor referral form?

The school counselor referral form can be filed by teachers, administrators, parents, or the students themselves when there is a concern regarding a student's needs that the counselor can help address.

How to fill out school counselor referral form?

To fill out the school counselor referral form, the individual making the referral should provide the student's information, describe the concerns or issues prompting the referral, and indicate any previous actions taken to address these concerns.

What is the purpose of school counselor referral form?

The purpose of the school counselor referral form is to formally communicate concerns about a student's well-being to the school counselor, allowing for timely intervention and support for the student.

What information must be reported on school counselor referral form?

The referral form must typically include the student's name, grade, date of birth, a description of the issue or concern, any relevant observations, and the name and contact information of the person making the referral.