Refer a Student to Larc

Larc School accepts students at all times during the school year, including during the Extended School Year session. School district personnel may use the form below to initiate a referral. A member of our Intake Team will contact you promptly to follow up on records submissions, and to assist you with interview arrangements, tour scheduling, etc.

Student records should be submitted to Larc School by mail at:

Larc School
Attention: Student Referral
1089 Creek Road
Bellmawr, NJ 08031

Or by fax to: 856.933.3158

Our Intake Team can be reached by phone at 856.933.3725.

Student Referral Form

Refer a Student

Student's Name *

Student's Age *

CST Member's Name

Parents Name(s)

Is the student currently classified as in need of special education services by the local school district? *

Yes

No

District Name

Contact Name *

Contact Relationship *

Contact Phone: *

Contact Email *

Best time to reach you?

How did you learn about Larc School?

Additional Comments

If you are human, leave this field blank.