Family Needs Form

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Family Needs Form

This is to expedite communication regarding family needs that arise during the school year. This form helps Mrs. Thomason (counselor), Mrs. Weickum (social worker), and Mrs. Withers (nurse) reach out to families/parents/guardians in a timely manner to offer support and assistance where it is needed.

It may take a few days for a staff member to contact you regarding any needs/resources. If you need immediate assistance, please contact:

Mrs. Weickum (phone: 208-854-2394; email: michelle.weickum@boiseschools.org) or

Mrs. Thomason (phone: 208-854-5007; email: lalania.thomason@boiseschools.org).

Email *

Today's date: *

YYYY

Person filling out the form: *

Student name: *

Student's teacher: *

What do you need support with? *

Food Need

Clothing Need

Homeless or Doubled Up with another family (might be eligible for McKinney Vento)

Financial Assistance (i.e. bills)

Housing or Rental Assistance

Hygiene/Dental Need

Backpack and/or School Supplies Need

Social and/or Emotional Concern (student could use a check-in from the school counselor)

Health Concerns/Conditions

Vision Concerns

Other:

Required

Please describe the need(s)/concern(s) in detail. *

Is there anything else you would like us to know?

A copy of your responses will be emailed to the address you provided.

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