Get the free Student Assistance Referral Form - CARE of Southeastern Michigan

Student Assistance Referral Form Note: All information on this form may be shared with the student and/or parents and becomes part of his/her assessment records at the CARE Student Assistance Center.

How to fill out student assistance referral form

How to fill out student assistance referral form:

1. Obtain the student assistance referral form from the appropriate source, such as the school administration or guidance office.
2. Carefully read the instructions provided on the form to understand the purpose and requirements for filling it out.
3. Fill in your personal information accurately, including your name, contact details, and any other relevant identification information requested.
4. Provide a detailed explanation of why you are seeking student assistance, including any specific challenges or difficulties you are facing that require assistance.
5. If applicable, provide any supporting documentation or evidence that may be required to substantiate your request for assistance.
6. Sign and date the form to indicate that all the information provided is true and accurate to the best of your knowledge.
7. Submit the completed form to the designated office or personnel responsible for processing student assistance referrals.
8. Keep a copy of the completed form for your records.

Who needs student assistance referral form:

1. Students who are experiencing academic, personal, or emotional challenges and require additional support.
2. Students who are facing financial difficulties and need assistance with resources and services.
3. Students who may have special needs or disabilities that require accommodations or individualized support.
4. Students who are in need of counseling, therapy, or guidance services to address mental health or social-emotional issues.
5. Students who are seeking scholarships, grants, or financial aid for education-related expenses.
6. Students who may require tutoring, mentoring, or other academic interventions to improve their educational outcomes.
7. Students who are in need of career counseling or guidance to explore and pursue future educational or career opportunities.
8. Students who are victims of bullying, harassment, or any form of abuse and require intervention and support.

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What is student assistance referral form?

The student assistance referral form is a document used to identify and support students who may be experiencing academic, behavioral, or emotional difficulties.

Who is required to file student assistance referral form?

Teachers, counselors, and school administrators are typically required to file a student assistance referral form when they observe concerning behaviors or academic issues in students.

How to fill out student assistance referral form?

To fill out the student assistance referral form, provide detailed information about the student, including their name, grade, and specific concerns noted, along with observations and any interventions attempted.

What is the purpose of student assistance referral form?

The purpose of the student assistance referral form is to facilitate early intervention and support for students facing challenges, ensuring they receive appropriate resources and help.

What information must be reported on student assistance referral form?

The information that must be reported on the student assistance referral form includes the student's personal details, specific concerns regarding their behavior or performance, intervention strategies previously used, and any relevant background information.