ASSIST - RSSP Referral Form School InfoStudent InfoGuardian InfoAttendance InfoDocumentation Review & Submit Section 1 - School Information County - School Attending * Clay - Clay City Junior / Senior High SchoolClay - North Clay Junior High SchoolClay - North Clay Community High SchoolClay - Floyd Hensen Junior High SchoolClay - Flora High SchoolCrawford - Hutsonville Junior High SchoolCrawford - Hutsonville High SchoolCrawford - Nuttall Middle SchoolCrawford - Robinson High SchoolCrawford - Palestine Grade SchoolCrawford - Palestine High SchoolCrawford - Oblong Junior High SchoolCrawford - Oblong High SchoolJasper - Jasper County Junior High SchoolJasper - Newton Community High SchoolLawrence - Sumner Attendance CenterLawrence - Red Hill Junior / Senior High SchoolLawrence - Parkview Junior High SchoolLawrence - Lawrenceville High SchoolRichland - Richland County Middle SchoolRichland - Richland County High SchoolHomeschool County - School Attending Field is searchable - type the name of school to search School Administrator Name * School Administrator Name First First Last Last Referred by * Referred by First First Last Last Contact Email * Confirm Contact Email * Please confirm Email If you are human, leave this field blank. Next Back to Alternative Ed/Safe School
