SLzUSD: Edendale Middle School COST Referral
WHAT IS COST? Each site within San Lorenzo Unified has a Coordination of Services Team (COST). Click here to learn more!


Thank you for taking time to submit this referral! Please see below regarding your input and the COST referral and service process. Please provide as much information as possible. Someone from the COST may contact you for further information before services are coordinated.

Immediate and Urgent Needs
For immediate need of emergency services, please call 9-1-1. 
Alameda County Crisis Support Services: https://www.crisissupport.org/ 
SUICIDE AND CRISIS LIFELINE - Alameda County Residents: call 1-800-309-2131 or text "Safe" or "Seguro" to 20121 (National line: call/text 988)
If you're a community member requiring additional crisis support, please see Mental Health Resources HERE.

If this is regarding a non-emergency but high-risk situation that requires immediate attention (within 24 hours), please contact your site's social worker, COST lead, and/or site administrator. COST Contact List by Site

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Email *
Name of staff, parent/caregiver, student making the referral.
Nombre del personal, padre/cuidador, estudiante que hace la referencia
进行转介的教职员工、家长/看护人、学生姓名。 *
Name of student being referred to COST.
Nombre del estudiante al que se refiere COST.
 被提及到 COST 的学生姓名。
 *
Student ID (optional not required)
Identificación de estudiante (Opcional no requerido)
学生证 (可选 非必需)
What is your relationship to student being referred?
¿Cuál es su relación con el estudiante recomendado?
您与被转介的学生是什么关系？
 *
Please check off who has been informed of this referral.  
Por favor indique quién ha sido informado de esta referencia.
请说明谁已获悉此参考信息。
If anyone listed above has not been informed of this referral, please explain why. Enter "n/a" if all have been informed or share the outcome if relevant. 
Si alguna de las personas mencionadas anteriormente no ha sido informada de esta referencia, explique el motivo. Marque "n/a" si se ha informado a todos o comparta el resultado si corresponde.
如果以上列出的任何人尚未被告知此转介，请解释原因。如果所有人都已被告知，请填写“n/a”，或分享相关结果。
 *
Student grade level
Nivel de grado del estudiante
学生年级
 *
Does this student receive IEP services? 
¿Recibe este estudiante servicios del IEP?
该学生接受 IEP 服务吗？
 *
Is the student an English Language Learner?
¿Es el estudiante un estudiante del idioma inglés?
 学生是英语学习者吗？
 *
What type of insurance does the student have?
¿Qué tipo de seguro tiene el estudiante?
学生有什么类型的保险？
 *
Please tell us about the students strengths and interests.
Por favor cuéntenos sobre las fortalezas e intereses de los estudiantes.
请告诉我们学生的优势和兴趣。
 *
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