SCIP Student Referral (step one) CONFIDENTIAL
Complete this form if you have a concern about a student. The SCIP team will meet and discuss next steps. If you would like to make the referral in person, please contact East High at 402-436-1302 and ask for Tara Moore or Diane Wilson-Dunning.
Relationship to student:
East High Staff
Reason for Concern: (Please give as much detail as possible to help guide the SCIP team)
Name of person referring (Optional)
Send me a copy of my responses.
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