Student Assistance Program (SAP) Referral Form 2026

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  1. Click ‘Get Form’ to open the Student Assistance Program (SAP) Referral Form in the editor.
  2. Begin by entering the student's name and the date of referral at the top of the form. Ensure accuracy as this information is crucial for processing.
  3. Indicate the student's grade and select their gender by checking the appropriate box.
  4. Answer whether the student has an Individualized Education Plan (IEP) by selecting 'Yes', 'No', or 'Do not know'.
  5. In the observation section, check all behaviors you have noticed that may indicate a need for assistance, such as academic concerns or changes in behavior.
  6. Provide details about any interventions already attempted to resolve these issues, including dates if possible.
  7. Indicate whether you have contacted the parent regarding your concerns and summarize the outcome.
  8. Finally, select your role in making this referral from the options provided and enter your name, ensuring confidentiality if desired.

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The Pennsylvania Student Assistance Program (SAP) is a systematic team process used to mobilize school resources to remove barriers to learning. SAP is designed to assist in identifying issues including alcohol, tobacco, other drugs, and mental health issues which pose a barrier to a students success.
Pennsylvanias Student Assistance Program (SAP) is designed to assist school personnel in identifying issues including alcohol, tobacco, other drugs and mental health issues which pose a barrier to a students success.
The purpose of the SST is to design a support system for students having difficulty in the regular classroom. The SST is a group formed within the school to further examine a students academic, behavioral and social-emotional progress. The SST team can propose interventions for the student.