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Parent Crusader request for support form/ Crusader pedir ayuda para los Padres forma
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What is your child's name and grade level? El nivel de grado de su hijo(s)?
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Your answer
How are you related to the student and what is your name? Que es la relacion entre usted y el estudiante y que es su nombre?
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Your answer
What is the best way to contact you? (phone, email, ie: 661-204-1234) Qual es la forma mejor para contactarlo (numero de telefono, domicilio correo electronico)
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Your answer
What is your main area of concern for the student? Que es su preocupacion de el estudiante?
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Depression- Depresion
Anxiety- Ansiedad
Academics- Academicos
Friends- Amigos
Substance abuse- Abuso de sustancias
Self harm- Autolesiones
Other- Otra cosa
Have there been any changes in the home at this time or recently? Hay cambios en su casa recientemente?
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Your answer
Additional information you would like us to know? Si tiene informacion adicional que quiere que savemos?
Your answer
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