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Student Assistance Program - Dallastown MS
If you are concerned about the mental or physical safety of a student that attends Dallastown MS, please fill out the below form.
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* Required
Student being referred (First and Last name)
*
Your answer
Student's Grade
7th Grade
8th Grade
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Your First and Last Name
This is optional information, you do not need to provide us with your name.
Your answer
Reasons for Concern
*
Behavior concerns
Suspected physical abuse
Suspected drug/alcohol abuse
Social concerns
Suffered recent loss
Traumatic event
Questioning gender identity
Homeless
Suicidal thoughts
Self-harm
Other:
Required
Additional information
Please let us know if you have more information that you think would be helpful for the SAP Team to know.
Your answer
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