Student Contact Form

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Student Contact Form

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* Indicates required question

Last name, First name (ex. Jones, Emily) *

Your answer

Homeroom Teacher *

Choose

Bevil

Blake

Buck

Burrell

Cathcart

Davis

Doggett

Henderson

Hill

Howard

Hunter

Ingram

Ingram-Davis

Johnson

Kazee

Lindsey

Smith

Thomas, B.

Thomas, P.

Whitaker

Williams

My concern is: *

Worried about school

Worried about home

Having trouble with another kid or student

Having trouble with an adult or parent

Trying to do better, but it's hard

Confused

Missing someone

Can not concentrate

Having a concern that is not on the list

I need to talk with you ... *

RIGHT AWAY!!

Sometime today

Sometime this week

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