Here is a quick guide to ensure you are fully registered and ready to access our services:

The first step is to complete our brief survey:

Complete the form

• Once submitted, it may take 7-10 days for you to be entered into the system.
  Look for an email with the subject: “Authorization for DCF Statewide Student Support Services NJ4S,” which will contain your Salesforce access instructions.
• If you have already received the authorization email, visit the Home (nj.gov), sign in, and select “Start a New Application” to begin.

Here is a breakdown of our different Tiers and what actions are required to access our services:

Tier 1

Criteria: Our Tier 1 presentations, workshops, and assemblies are open to all Pre-K – 12^th grade public and charter schools and community organizations.

How to Request Services:

• To request a Tier 1 Service, please complete the online Jotform application:
  Tier 1 Application Form

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Tier 2

Criteria: Our Tier 2 services are offered to students and parents with students in 6th – 12th grade.

How to Request Services:

• Application submission via Salesforce is required and submitted by the school representative.
• School representatives must ensure consent forms are collected and completed by the parent or guardian:
  Tier 2 Group NJ4S Participation Consent Form (PDF)
• Online Jotforms for Tier 2 consent forms are available in the following languages:
  English Tier 2 Group Form
  Spanish Tier 2 Group Form
  Portuguese Tier 2 Group Form 
  Creole Tier 2 Group Form 

NOTE: School representative must complete the online Jotform Students EBP List for each group.

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Tier 3

Criteria: Our Tier 3 services are offered for students in 6th – 12th grade who require clinical services, often involving confidential or sensitive information.

How to Request Services:

• Application submission via Salesforce is required.
• School representatives must ensure consent forms are collected and completed by the parent or guardian:
  English NJ4S Consent Form Tier 3 (PDF) 
  Portuguese NJ4S Consent Form Tier 3 (PDF)
• If the physical Tier 3 consent form is completed by the parent or guardian, please ensure the Release of Information (ROI) is obtained as well. The PDF forms are available in the following languages:
  English NJ4S ROI
  Spanish NJ4S ROI
  Portugese NJ4S ROI
• Online Jotforms for Tier 3 consent forms are available in the following languages:
  English Tier 3 Form
  Spanish Tier 3 Form
  Creole Tier 3 Form

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Important Notice Regarding Consent Forms and Student Information:

Consent Forms:

• Consent forms should not be emailed under any circumstances to our staff. Our clinicians and prevention consultants will come to collect all physical copies of consent forms.
• All consent forms must be collected before services can begin.

Sharing Student Information:

• When sharing student names or other sensitive information with staff, ensure that emails are encrypted to maintain confidentiality and data security.