Referral Form

Counseling Referral

Thomas Jefferson

Classical Academy

Middle School

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Grammar School

1110 South Broadway, Forest City, NC 28043

Phone: 828-245-9526

Fax: 828-245-9530

Middle School

2527 US 221A HWY, Mooresboro, NC 28114

Phone: 828-282-2170

Fax: 828-202-5135

High School

2527 US 221A HWY, Mooresboro, NC 28114

Phone: 828-657-9998

Fax: 828-202-5135

"In accordance with Federal law and U.S. Department of Agriculture policy, this institution is prohibited from discriminating on the basis of race, color, national origin, age, disability, religion, sex, familial status, sexual orientation, and reprisal. (Not all prohibited bases apply to all programs).”

To file a complaint of discrimination, write to:

USDA, Assistant Secretary for Civil Rights Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue, S.W., Stop 9410 Washington, DC 20250-9410

Or call toll-free at (866) 632-9992 (English) or (800) 877-8339 (TDD) or (866) 377-8642 (English Federal-relay) or (800) 845-6136 (Spanish Federal-relay). USDA is an equal opportunity provider and employer.”

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