Student Assistance Program - Parent Permission
Silverdale Baptist Academy is now offering a Student Assistance Program (SAP) to all students. This is a voluntary program that provides various support services designed to meet your child’s social, emotional, and behavioral needs. It is a free service. There is no cost to you or your child.

Students can be referred to the SAP by parents/guardians, school personnel, or refer themselves. The SAP team is comprised of Certified Student Assistance Professionals and licensed counselors. Our goal is to work with you in order to offer support and recommendations for your son/daughter. Additionally, our team can provide information so families may access community resources.

You are a vital part of your child’s success and we recognize the importance of parent/guardian involvement in this process. With your permission, your child can self-refer to the SAP if they feel like they need to talk with someone about problems or issues they may be facing. If your child were to give us information that indicates he/she is at risk to harm themselves or others, then we would notify you immediately. By signing below, you are giving us permission to speak with your child.

PLEASE SUBMIT ONE CONSENT PER CHILD. TO SUBMIT ANOTHER CONSENT, USE THE LINK AVAILABLE IN THE CONFIRMATION WINDOW FOLLOWING THIS SUBMISSION.
Email address *
Child's First Name *
Your answer
Child's Last Name *
Your answer
Parent/Guardian Information & Consent
I give Legacy EAP permission to speak with my child. (Ex. A counselor may offer 6 brief counseling sessions to assist your child. The counselor will then make a recommendation to you as to if your child would benefit from further counseling or other assistance. A separate permission form will need to be signed for this type of counseling to occur.) This consent may be revoked by the legal guardian by contacting the child’s school or Legacy EAP directly. *
Parent/Guardian First Name *
Your answer
Parent/Guardian Last Name *
Your answer
Phone Number *
Your answer
A copy of your responses will be emailed to the address you provided.
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