LCTI Student Assistance Program Referral Form
Please use this form to make referrals to the SAP teams at LCTI
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Email *
What is the first and last name of the student you are referring? *
Would you like to talk to a member of the SAP team about the student you are referring? *
Please provide your full name if you would like a member of the SAP team to speak with you about this referral.
Which full-day program does the student attend? *
What grade is the student in? *
What is the reason for referring this student to SAP? (Please choose the most relevant cause for this referral) *
Please describe the observable behavior(s) that prompted this referral: e.g., declining grades or failures, excessive tardiness or absenteeism, behavioral concerns, failure to attempt or complete assignments. *
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