San Diego Unified School District
California School-Age Families Education Program

The California School Age Families Education (Cal-SAFE) Program is a district funded, comprehensive, school-based program designed to improve the educational experience and increase availability of support services for enrolled expectant and parenting students and their children. The program provides academic and support services to the students including, but not limited to, case management, counseling, referral and service coordination, and child care services for their children that are developmentally appropriate.


Please complete and submit this information for student referrals.
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Email *
Cal-SAFE Inquiry Form
Student ID: *
Student Last Name: *
Student First Name: *
Student Middle Initial: *
Mailing Address: *
City: *
State: *
Zip Code: *
Student Cell Phone: *
Student Email:
Student Date of Birth: *
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Grade: *
Class of: *
Credits to date: *
WGPA: *
Primary Language: *
504: *
Required
IEP: *
Required
Parent/Guardian Last Name: *
Parent/Guardian First Name: *
Relationship to Student: *
Parent/Guardian Cell or Home Phone: *
Parent/Guardian Email:
Referred by: *
Title: *
Best Telephone/Cell: *
Email: *
Remain at current school: *
Infant Toddler Center Needed (Garfield High School): *
Expectant Teen Classroom (Garfield High School): *
Does the minor/teen parent have other children *
Please provide the names and birth dates of the other children:
The parent/guardian is aware of my pregnancy. *
Due date is: *
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I (Student) authorize the submittal of this referral by my school counselor/school nurse/other staff member to the Cal-SAFE Program. By typing in your name this will act as an electronic signature. *
Date: *
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