Intake Form

Currently PASS is only available for Barnstable, Falmouth and D-Y high schools.

Schools must complete and submit this PASS Intake Form hosted by Google.

Required Information:

• Student’s Name
• Person/People Making the Referral
• Referring School (Barnstable, Falmouth, or D-Y)
• Date(s) to Attend, Number of Days to Attend
• Behavioral That Led to Referral/Suspension
• Concerns/Areas to Focus on while at PASS