Wheeler Family Resource Center
The primary goal of the center is to remove non-academic barriers to learning as a means to enhance student academic success.  Please complete this form to refer a student to the FRC. Please be advised this information is confidential unless outside resources are needed for collaboration
Email *
Staff Referral Form
Student's Name: *
Grade: *
Homeroom Teacher: *
Concerns /Referred For (check all that apply) *
Required
Has a Parent/Guardian been contacted regarding this concern? *
If yes, please indicate date and time
MM
/
DD
/
YYYY
Time
:
Please explain your concern, be specific and include all pertinent information, such as family, academic status, etc. *
Is there Suspected Abuse?  If you suspect abuse or neglect it is your responsibility to report it to the proper authorities and to document that report. *
If yes, contact Child Protective Services (CPS) at (502) 595-4550 or https://prd.chfs.ky.gov/ReportAbuse/home You can now report suspected abuse on line via email  intake.jsr@ky.gov 
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