CROSS Team Initial Referral Form 2018-19
The Student Assistance Program/CROSS Team is a state-mandated K-12 program designed to assist school personnel in identifying issues including alcohol, tobacco, other drugs, and mental health issues which pose a barrier to a student's success.

Anyone may make a CROSS referral. This information is confidential and not shared with the student. CROSS Team members include:

Al Callejas
Cathy Chiumento
Sr. Eileen Coleman
Lisa Harris
Kim Kanuik
Alexa Schoenberg
Kandy Taylor

Name of person making referral *
Your answer
Last name of student being referred *
Your answer
First name of student being referred
Your answer
Grade of student being referred *
What is your role? *
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