WSS CORE REFERRAL
The information collected through this referral will be used to determine students in need of intervention. You may be contacted for additional information about a referred student if/when they are discussed at a weekly CORE meeting.
Name of Referring Teacher *
Your answer
Student Name *
Your answer
Grade *
Subject *
Your answer
Current Mark % (approx) *
Your answer
Which of these interventions have you tried? *
Required
Check all concerns that apply *
Required
Please provide details about your concerns and strategies you have tried. *
Your answer
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