Student Intervention Referral
The information within this referral will be kept confidential.
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Email *
Date
MM
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DD
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YYYY
Referral Sender's name *
Referral Sender's Phone # (optional)
Referral Sender's relationship to the student *
Student Name *
Student ID # (if known)
Please provide detailed information, examples, and or scenarios so that we may thoroughly understand the student's need for intervention. This will enable us to offer the best possible resources and support for the student.  *
Interventions offered at AHS:
  • Academic Tutoring: We have online tutoring available through FEV tutoring.  On-campus peer tutoring also available.
  • Anger Management: develops skills to help manage anger, aggressive impulses, and conflict
  • Check In, Check Out (CICO): a mentoring program that supports students by monitoring daily attendance, classroom performance, and behavior.
  • Counseling for Academics: We offer online tutoring services through FEV tutoring.
  • Counseling for Social Emotional Support
  • Life Skills: develops skills in socializing, bully intervention, substance abuse, healthy choices, conflict resolution and mediation, and counseling
  • On-Campus Interventions (OCI):
  • Substance Abuse: develops skills to help address substance abuse issues
  • Truancy: develops skills to address truancy issues in school
Thank you for submitting a referral to support an AHS student!  A member of our intervention team will contact the student within 3 school days.
AHS, we are the SAINTS who Achieve, Honor, and Serve!
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