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School Social Worker Referral Form Date: Student Name:DOB:Grade:Special Ed. Exceptionality:Referred by:Approved by (admin. name):I. Service RequestedClassroom InterventionSIT MeetingTeacher MeetingCounselingClassroom
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A school social worker referral is a formal request made to involve a school social worker in addressing a student's behavioral, emotional, or social challenges within the school environment.
Typically, teachers, school administrators, guidance counselors, or parents/guardians are required to file a school social worker referral when they identify a student in need of support.
To fill out a school social worker referral, individuals should provide specific information about the student, including name, grade, reasons for referral, observations, and any interventions already attempted.
The purpose of a school social worker referral is to connect students experiencing difficulties with appropriate resources and support to help them succeed academically and socially.
Information to be reported on a school social worker referral typically includes the student's personal details, specific concerns or behaviors observed, and relevant background information that may help in assessing the student's needs.
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