If a student refuses to read during SSR time at least 5 consistent class periods, please complete this form so that one of the SSR Team members can have a consultation with the student. Please do not tell the student that you completed this form. It is not meant as a negative "referral" system but as a way to determine the cause of the problem. For many reluctant teen readers, it's just a matter of finding the right book. That's where your SSR Team can help, but please be patient as we try to accommodate the literacy needs of our campus.