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Referral Form
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Indicates required field
Person Making Referral
*
First
Last
Once a referral is made a counselor will call for the student. If the student is a distant learner or virtual learner please provide the best way to contact in the comments section.
Your Email
*
Name of Student being referred
*
Relationship to student
*
Self
Teacher
Parent/Guardian
Other
Grade Level
*
12
11
10
9
Reason for Referral
*
Academics (Grades, Schedule, ACT, etc)
Career (Post secondary Planning and Financial Aid)
Social (Conflicts, Well-being of Self)
Comment
*
Submit
Home
About Our History
Contact
EHS School Store
Tora Donations
Academics
Academic Boosters
Educational Tours
Athletics
'24 School Year
Guidance
2024-2025 Course Offerings
Bullying and Harassment Report Form
Counselor's Corner
New Student Enrollment
PEP Plan
Scholarship Info
LSIC
Meeting Notices
Mark's Office
WELLNESS
Yearbook