This form is to be completed by a suitable referee (i.e., Guidance Officer, Principal, Deputy Principal, Youth Worker, Specialists etc.), who understands the student’s educational background and sees a need of support for the student. Special Assistance Schools (SAS) in Queensland assist with students who have become disengaged or be at risk of disengagement from mainstream schooling. This may include behaviour, social and emotional matters and an influence of a disability. Please complete (provide as much information as possible) and return via email to info@kairoscc.org.au