Referral Process

1. Please email the PASS Program Director BEFORE submitting a referral to ensure that there is space for the student. Space is limited, the program can host 6-8 students at a time.

• For Middle School referrals (grades 5, 6 and 7), please email mspassprogramdirector@gmail.com or call 774-722-5337
• For High School referrals (grades 8-12), please email hspassprogramdirector@gmail.com or call 774-801-9768

2. Once space is confirmed, we encourage the team of school point person, parent/guardian and student to sit together (in person or over the phone) to complete the intake form as information from all parties is required. This will help avoid incomplete or inaccurate forms.

3. Forms must be complete and submitted at least 24 hours prior to the student’s start date. For Monday start dates, forms must be submitted by Friday at 2:00pm. Once the intake is received and reviewed, a Welcome Email will be sent to the student, parent/guardian and school to confirm enrollment.

Positive Alternatives For Student Support Referral Forms