RCGS SIT Request for Assistance
Requests must be based upon behaviors or academic performance that you have actually observed. As a rule, isolated instances or poor/unsatisfactory or outstanding performance will not be grounds for referring a student to the Student Intervention Team. When there is a pattern of behavior or academic failure, a request for assistance is appropriate. In addition, requests for assistance may be made for students who demonstrate outstanding academic performance and may need enrichment.
Today's Date *
MM
/
DD
/
YYYY
Student: *
Your answer
Grade: *
Identify student strengths: *
Your answer
Provide specific concerns regarding this request: *
Your answer
Of the concerns listed, which one(s) would you like to target first?: *
Your answer
Requested by: *
Your answer
Email *
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of USD378 Riley County Schools. Report Abuse