JTL MTSS Referral Form
The East Stroudsburg School District will provide a comprehensive school-wide system of supports utilizing data based decision making to ensure we are meeting the needs of all our students to be lifelong learners and productive citizens.  Referrals can be made to address academic, behavioral, or social emotional needs.

Anyone may make a referral.  Referrals may be made anonymously except in the case of teachers and 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.

**IMPORTANT ** PLEASE READ**
Please note that if you have concerns regarding the immediate welfare of a child during the school day, such as suicidal ideations, self harm, or possession of weapons or drugs, discontinue this process and immediately contact a counselor or administrator.  For similar concerns outside of school hours, please call 911.
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