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The Learning Centre
> The Learning Centre > Student Referral

Student Referral

Are there struggling students who you believe could benefit from assistance from The Learning Centre? If so, fill out the following referral.
The Learning Centre will contact the student and request that they make an appointment with a staff member.

If you suspect your student may have a learning disability, please contact Shana Stafiej, or ext. 7071.

To be completed by teachers only.

Teacher's Full Name

Student's Full Name

Student's ID Number

Course Name

Did you inform the student that you were referring them?

Additional Information

Student Needs Help In




Essay organization/structure








Study skills


Time management


Exam preparation



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Type Code Shown


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