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Referral Form
*
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
Important Student Documents
Staff Directory
2024 Graduation Info
Project Safe Graduation Info
Academics
Academic Boosters
Educational Tours
National Honor Society
Athletics
Guidance
2024-2025 Course Offerings
Bullying and Harassment Report Form
Counselor's Corner
New Student Enrollment
PEP Plan
Scholarship Info
LSIC
Meeting Notices
Yearbook
WELLNESS