PASS Cape Cod

Positive Alternative to School Suspension

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 
a young person in sneakers and jeans