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Charlotte Lappla SAP Referral
If you are concerned about a student because of issues related to declining grades, attendance, disruptive behavior in the classroom, legal problems, involvement with the disciplinary system, problems at home, or any other barriers to student success, you can refer that person to the Charlotte Lappla SAP team.  

If you choose not to enter your name, the form will be sent anonymously to a member of the Charlotte Lappla SAP team. There is no email or name attached to this form. THIS FORM IS COMPLETELY CONFIDENTIAL.

If this referral is a life-threatening emergency, where time is of the essence, call 911. If this situation is a non-life threatening emergency, in addition to completing the form, consider other options to ensure safety.
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Email *
Name of student you are referring / grade:
Your Name (Optional)
What is your role?
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Reasons for Concern/Observable Behavior
Please explain above concerns
Additional concerns (optional)
Submit
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