ࡱ> ecfM bjbj== "WWl:::::::N  N+$ L:::":::: @9NN 0+M(MNN:::: SAFE Self-Referral Form To refer yourself or a friend to SAFE, please fill out this form and give to a teacher, an administrator, a counselor, the Student Resource Officer, or have the front office place it in Ms.Taylors mailbox. If youd like, you may fold the referral and tape it so no one sees it but the SAFE Coordinator. Name___________________ Date____________________ Reason for Concern: ________________________________________________________________________________________________________________________________________________ *You will be called into the SAFE office as soon as possible If this is an emergency and you or someone else is in any kind of danger, please go immediately to the SAFE office, a counselor, an administrator, or the School Resource Officer. 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