Forms

Please use the forms below to refer a student to the Learning support team or school counsellor.


 * Learning Support Team Referral **
 * Student name ___Blake Lenard Year__ 10 **


 * Referring Teacher Date of Referral ­­­ M.Paczkowski 23/6/11 **


 * **Issue Poor attendance, failing to meet academic outcomes ** ||  ||
 * **Attempts already made by class teacher to address issues **
 * I have met with Mrs. Lenard and devised an imporovement program but Blake has not made any effort to see Mrs. Howes or change any of his poor practices- improve attendance. TAFE an option but Blake has not followed through, despite Mum saying yes to all our suggestions. HSLO involved. ** ||  ||
 * **Discussion with Head Teacher to address issues **
 * Consequences ** ||  ||
 * **Learning Support Team discussion ** ||  ||
 * **Feedback to referring teacher **
 * Student needs **
 * Recommended action ** ||  ||

This form may be completed electronically and saved into the //Students receiving support// file.