EXAMPLES OF SCHOOL APPLICATIONS AND FORMS
PARKHILL SECONDARY CENTER
The mission statement of the Parkhill Secondary Center is to provide each student with the opportunity and guidance needed to acquire the academic and behavioral skills necessary for the pursuit of a productive lifestyle.
Administration: Bruce Hill, Bill Huddleston, Jeff Holcombe, Murray Neely, Bryan Blackwood, Brendra Leeper, Lance Pinkerton.
Teachers: Todd Pinkerton, Tina Braden, Paddy Bell, and Thomas Sweeten.
Judicial Representation: Robert Mabry
Social Services: Southwest Mental Health
CCUofA: Vocational Programs
The District has chosen to provide a program designed to meet the needs of two different groups of students that are at risk of failure in the normal public school setting: students who are at risk of dropping out, students who have a GPA below 2.0 on a 4.0 grading scale, students who lack credits or students who have chronic attendance issues. We propose to serve these students with a structured educational environment designed to meet their individual needs:
1. ALTERNATIVE EDUCATION PLAN
2. AT RISK IDENTIFICATION
3. INTAKE AND SCREENING
4. GOALS AND OBJECTIVES
5. DESCRIPTION OF SERVICES
6. SERVICE DELIVERY STRATEGIES
8. INDIVIDUALIZED INSTRUCTION
9. CLASS SIZE AND STUDENT/TEACHER RATIO
12. CONTINUATION OF PROGRAM
SW COUNSELING & MENTAL HEALTH APPLICATION
SOUTHWEST COUNSELING & MENTAL HEALTH CENTER, INC.
1312 COLLIN RAYE DR.
P.O. BOX 459
DE QUEEN, AR 71832
It is the mission of the Southwest Arkansas Counseling and Mental Health Center, Inc. to prevent, treat and cure mental illnesses and related disorders regardless of an individual's ability to pay.
TELEMEDICINE SERVICES NOW OFFERED
Telemedicine Services are now being offered in our Hope and Texarkana, AR locations. Telemedicine is the use of medical information exchanged from one site to another by the use of video conferencing equipment to improve a patient's clinical health status. The patient is generally at one location and the physician at another.
For more inforamation, please contact our offices.
The Center offers a variety of outpatient services including individual counseling, family counseling, marital counseling, counseling for substance abuse problems, alcohol safety education services, group therapy, consultation with other health care providers or educational/vocational facilities, psychological evaluation, psychiatric evaluation, medication management, and crisis intervention (telephone and walk-in).
To request an appointment, please call one of our offices listed under the Programs and Clinics tab or dial 1-800-652-9166.
The goal of the Youth Services Program is to reduce juvenile delinquency. To accomplish this goal, the Youth Services Program serves delinquent and high-risk youth that reside in an 8-county catchment area of Southwest Arkansas. One or more full-time Case Managers serve each county. Most youth served by the Program are Juvenile Court referrals, but referrals may come from any source. For more information, send your request to firstname.lastname@example.org.
The goal of the Psychosocial Rehabilitation (PSR) Program is to assist our clients in functioning within the living, learning and working environments that they choose, while utilizing the least amount of services and supports possible, to address the clients' needs, preferences and goals.
Community-Based Rehabilitation (CBR) Services provides assistance in many areas of the clients' lives, to facilitate the development of healthy community living skills, independent living skills, socialization skills, appropriate use of leisure time and vocational development. CBR services are available in the Texarkana area. For more information about the PRS or CBR programs, send your request to email@example.com.
Services to Residential Clients
The Center provides psychosocial rehabilitation services to individuals who are clients of the Split Rail Residential Care Facility in Prescott, Arkansas and Horizons of Hope Residential Care Facility in Hope, Arkansas. These services include, but are not limited to, case management, community-based rehabilitation and medication management. Services are holistic in nature, and are designed to develop and facilitate independent living skills. Anyone interested in more information about Split Rail or Horizons of Hope may request literature by emailing your request to firstname.lastname@example.org.
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EXAMPLE OF APPLICATION FOR ADMISSION TO COSSATOT
CCCUA welcomes all secondary schools in our service area (Sevier, Howard, Little River, and Pike counties) to participate in our Concurrent Enrollment Program (CEP). We currently have Memorandums of Understanding with the following schools: Ashdown, Delight, De Queen, Dierks, Foreman, Horatio, Kirby, Mineral Springs, Murfreesboro, and Nashville. A variety of courses are offered including the following. Please contact Kristin Bowden, ext. 1126, to inquire about other courses available for CEP credit.
EXAMPLE OF NURSE REFERRAL FORM
DE QUEEN PUBLIC SCHOOLS
The role of the school nurse is to assess, evaluate, study, plan, implement and do research. The major part of the nurse's time is spent in direct childcare, personal conferences, appraisal and follow-up.
Health Services include:
1. Maintaining students health records:
2. Physical Screenings:
3. Referrals to appropriate medical professions for students in need
4. Seek Community Assistance:
Glasses - Lions, etc.
County Health Services
5. Supply information to special services
6. Provide emergency care, first aid, and nursing services at school site
7. Be available to do health related units in the classroom
8. Provide parents with health related information
Shelly Pruitt Direct Treatment & Medical 870-642-4247