In addition to our attendance, academic, and future planning support, Engage New Mexico offers accelerated, accredited courses for students who are in need of credit recovery. If you would like to refer a student for credit recovery, please fill in the information on this form.
Student Name
State ID
Form Submitter Name
Form Submitter Email
School District
School/Campus Name
Is this student already receiving ENGAGE support?
Yes
No
Reason for Referral- select all applicable options
Attendance
Credit Recovery
At Risk of Not Graduating On Time
Enrollment Details
District ID
Parent Name
Parent Phone
Parent Email
Address
Date of Birth
Gender
Credit Recovery Details
Names of classes being requested
Do these classes meet your district’s qualifications for credit recovery?
Yes
No
This student cannot be dual enrolled. Is this student currently taking any of these classes on campus or with another credit recovery program?
Yes
No