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Referrals

Student Support & Intervention Referral Form 2023-2024 (for staff use) - Please fill out this form to refer student in need of intervention supports, Pre-SST, SST, Speech, and 504 support. Once submitted, a Student Support Coordinator will contact you.

Students in Crisis Referral Form 2023-2024 (for staff use) - Please fill out this survey if you have a student in crisis. If there multiple students in the same household who are also impacted by the same crisis, please complete only one form for the family.

School-based Mental Health Support Referral Form - Staff Referral - Please fill out this form if you have a student you have concerns about related to social skills, emotional regulations skills, organizational skills, or other mental health issues so the student can be considered for intervention.

School-based Mental Health Support Referral Form - Parent Referral (Parent Survey in Spanish) - Parent can fill out this form if they have a student whom they have concerns about related to social skills, emotional regulations skills, organizational skills, or other mental health issues so the student can be considered for intervention.

Virtual Compassion Corner (student self-referral) is designed for middle school and high school students to self refer for mental health support when they are having a difficult time in their life. They can meet with a counselor or school psychologist virtually during school hours to discuss current life situations that may be impacting their overall functioning.

Learning Ally Request (for staff use) - Check to see if your student already has an account at Learning Ally or in this spreadsheet. Please complete this request survey for MVA students who do not already have a Learning Ally account and who you believe are eligible to receive the services per the Eligibility Guideline.

Math Intervention Referral - To refer your grade 3-8 student to Math Learning Lab (Tier 2 Math Intervention), upload your student's Spring 2024 Star Math Instructional Planning Report to the Math Intervention Referral Form. We need the quantile measure and suggested skills from the report to help with group placement. You can personalize this Math Email Template and send to families explaining the Math Learning Lab program, expectations, and possible class schedule. Enrollment is pending review of test scores and intervention history.

Reading Intervention Referral - To refer your grade 1-6 student to Reading Lab (Tier 2 Reading Intervention), complete the SIPPS Placement Screener with student, and upload a pdf of the scoresheet to the SIPPS Test Upload Form (coming in July). You can personalize this Reading Email Template and send to families explaining the Reading Lab program, expectations, and possible class schedule.

Screeners/Observations

Renaissance's Star CBM (Reading and Math)

  • Simple 1-minute measurements for teachers to see students produce academic performance in math and reading.
  • Can be used for screening or progress monitoring in math (K-3) or reading (K-6).
  • Log into Renaissance Platform to administer online, remotely, or in print.
Star CBM ReadingStar CBM Math


How to Recordings:

Renaissance Webinar RecordingsSouth Schools Recording:
How to Administer Phoneme Segmentation Video Tutorial (please note that this test is normed at a rapid pace)
How to Administer Receptive Nonsense Words Video Tutorial
How to Administer Passage Oral Reading Video Tutorial

How to administer Star CBM:

Star CBM Score & Benchmarks: Star CBM scores are shown as Correct Per Minute (CPM). Star CBM Benchmark Levels

Bader (Reading and Arithmetic)

Speech

Early Dyslexia Screening for K-2 (MVA)