Child and Student Education Referral Form

Notice: Due to COVID-19, all local school districts and Early On programs are closed until April 6, 2020.  Please complete and submit the referral form below and you will be contacted when offices reopen.

Please provide the following contact information

Please provide a detailed description of child

For questions call (734) 334-1393.

This form is intended for children attending Wayne County schools or living in Wayne County ONLY.