CCYS Referral Form - Wakulla County Schools - wakulla schooldesk 2026

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  1. Click ‘Get Form’ to open the CCYS Referral Form in the editor.
  2. Begin by indicating if the youth is age 17 or younger. Select 'Yes' for eligible or 'No' for ineligible.
  3. In the SCHOOL PROBLEMS section, check any relevant issues such as attendance, behavior, or academic struggles.
  4. Next, address FAMILY PROBLEMS by selecting applicable concerns regarding parental control, history of abuse, or family influence.
  5. If applicable, indicate any SUBSTANCE ABUSE PROBLEMS experienced by the youth.
  6. In the BEHAVIOR PROBLEMS section, mark any relevant issues like stealing, running away, or associations with delinquent peers.
  7. Fill in personal details including today's date, youth's name, address, and guardian information.
  8. Specify the reason for referral and whether the youth or family is aware of this referral.
  9. Add any additional comments if necessary before finalizing your form.
  10. Once completed, save your document and follow instructions to mail or fax it to Capital City Youth Services.

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