Referrals

CPS Referral Forms:

CIS Referral Forms:

Counseling Referral Process

Click one of the links above to make a referral.

Ways to refer:

  • A student may refer themselves.

  • A teacher may refer a student.

  • A parent may refer his/her child.

  • A staff person on campus can refer a student.

For a parent or teacher/counselor meeting:

  • Call or email the school counselor to set up an appointment

CPS Counselor: gmassa@central51.net

Phone #: 309-444-3580 ext. 1201

CIS Counselor: acherry@central51.net

Phone #: 309-444-3943 ext. 1440



Reasons for a referral:

  • You have concerns with your child's attitude towards school.

  • You have concerns with your child's academic growth.

  • You have concerns about their social/emotional well-being.

  • You have concerns with your child's relationships with peers at school.

  • You have concerns with your child's personal development.

  • You have concerns with your child's reactions to changes within the family that may be effecting his/her learning at school.


When should it be done:

  • When students cannot control their emotions or calm down in an appropriate amount of time.

  • When a student’s needs are greater than those the teacher can provide in the classroom setting.

  • When a student requires more support and attention to address or solve a problem, issues, etc.

  • When students need more specific and individualized help, solutions, and plans to address issues.

  • When a student needs more privacy than a teacher can provide in the classroom.


Why should it be done:

  • Provides students with more one on one help, support, and intervention.

  • Increases specificity of interventions and supports and tailors them to the student.

  • Increases privacy for the student.

  • Removes the student from the situation or circumstance to discuss solutions to it.

  • Reduces anxiety and pressure on student.

  • Provides the student with the full attention of an adult.

  • Makes student feel secure.

  • Allows an adult to give a student undivided attention.

  • Allows teacher to continue teaching the rest of the class without having to stop to speak or counsel a student in the hall or away from the class.


How should it be done:

  • Counselor referrals may be planned or spontaneous

  • For planned referrals, please fill out the appropriate referral form above and the counselor will reach out to you to set up a time to talk about the student situation and plan next steps.

  • For spontaneous referrals where an incident happens and the student unexpectedly requires counselor support, send the student down to the counselor with a note or email briefly explaining what happened, or send the student down and call and explain to the counselor the issue.

    • You may walk the student down or send another student to walk down with the student to the counselor

    • The counselor may also come to the room to retrieve the student