Education Neglect and Truancy Diversion referral

​​Referral Information

​AIM Information - Only complete this section for students 12 and over

Student Information

Parent/Guardian Information

​​​​Attendance Barriers - Are you aware/suspicious of any of the following barriers to attendance for the student? Please provide details

School Efforts: Please fill in details after each statement below. Inadequate efforts or information may result in a delay or screen out of the referral.

Academic / Behavior / Special Education

School Information

You can upload a maximum of 1 file, up to 90MB.

To make an oral educational neglect report, please call the Washington County Truancy Line: 651-430-6523.