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MIAMI
High School
2000 E Central, Miami, OK 74354
All students will be college, career, and citizen ready!
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Student Intervention Referral
Miami High School
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Student Intervention Referral
Student Intervention Referral
Student Intervention Referral
Student Intervention Referral Form
Miami High School
MHS Faculty and Staff - Please use this form to make our student intervention team (administrators, counselors, etc.) aware of an issue with a student. The issue may be academic, attendance, or another personal issue that you feel the team needs to be aware of promptly. This will allow for better communication flow.
If the issue is an emergency or a situation that needs to be hotlined, please do NOT fill out this form. Please contact an administrator immediately.
Student Name
Name of Person Filling Out Referral
Reason for Referral
Attendance
Academics
Personal Concerns
Other
Description of Issue
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