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
Current Mark % (approx)
Which of these interventions have you tried?
Review IEP when applicable and student file
Used various in-class learning strategies
Referred to AI (grade 8/9)
Contacted parents (parent meeting and/or phone call, NOT just email)
Contacted counsellor/case manager/administration
Check all concerns that apply
Struggling with Content
Behaviour (refusal to work, disruptive/distracting, inappropriate peer interactions, verbal disrespect, please specify below)
Please provide details about your concerns and strategies you have tried.
Never submit passwords through Google Forms.
This form was created inside of School District 73.
Terms of Service