Student Assistance Program (SAP) Initial Referral Form 2021-22
The Student Assistance Program is a state-mandated K-12 program designed to assist school personnel in identifying issues including alcohol, tobacco, other drugs, and mental health issues which pose a barrier to a student's success.

Anyone may make a SAP referral.  Referrals may be made anonymously except in the case of teachers or staff.  It is expected that teachers and staff identify themselves when making a referral when working in their professional capacity.  This information is confidential and not shared with the student.
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Email *
Name of person making referral (optional)
Last name of student being referred *
First name of student being referred *
Grade of student being referred *
What is your role? *
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