To help your team with the referral process, essential forms and documents have been loaded on this web site. These forms are available for you to use either as is (pdf), or modified (Microsoft Word), to better meet the needs of your team.
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BEHAVIOR OBSERVATION SHEET: The primary form used for SAP referrals, particularly from the classroom. This form should be available to any staff needing to refer a student.
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SAP REFERRAL LOG: This log is for SAP Coordinators and is often placed within your SAP Coordinator’s binder. This allows for an accurate listing of students referred to the SAP.
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CASE MANAGER CHECKLIST: Once a case manager has been assigned to a student, there are certain duties that need to be completed. This checklist helps to ensure that these duties are completed.
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INITIAL REFERRING STAFF FEEDBACK FORM: This is one way that the Core Team communicates back to the referring staff. This form lets the referring teacher know what is planned for the student.
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STUDENT TRACKING RECORD: This form can be used by the Core Team to compare pre-referral data with post-referral data on students that have already received assistance through SAP.
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SAP PROCESS EVALUATION: This form is used in evaluating the SAP process, including how well the process is being used, and what resources are being tapped for the students.
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STAFF SATISFACTION SURVEY: This is used to gain some insight into what the staff thinks about the SAP.
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STUDENT SATISFACTION SURVEY: This is used to gain some insight into what the students think about the SAP. Be mindful that this survey is helpful when students know that they have been referred to the SAP. Many students have no idea that they have been identified and screened.
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STUDENT REFERRAL SHEET: This form is available for students to self-refer. Sometimes it is easier to check a list rather than disclose verbally. Caution must be taken to avoid students misusing this form. An example might be a student completing a form and putting someone else’s name on it.
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Download PDF in Spanish
FOLLOW UP OBSERVATION SHEET: This is for classroom teachers to complete after the initial referral. It is how to determine if the behavior has changed in the classroom.
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SAP BROCHURE: This is a generic brochure for the Core Team to modify with your campuses / district’s name and logo. This is to assist the Core Team in promoting the SAP both on and off campus.
Download Word document in English
Download Word document in Spanish
LETTER TO PARENTS: This is a generic letter to promote the SAP as a on-campus resource for parents to utilize.
Download Word document in English
Download Word document in Spanish