CHS Care Team Special Request
The CHS Care Team's mission is to ensure all students have their basic needs met so they will be successful in school. We provide weekend food (sign-up on a separate form), but also can help with clothing, toiletries, household items (like toilet paper), and school supplies. Please provide information below about your request so the team can review it and do our best to help. If you have any questions, please contact Tara Halvorson at HalvorsonT@District112.org. 
Thank you!
Sign in to Google to save your progress. Learn more
Student Name: *
Student grade: *
Name of person making the request (and relationship to the student): *
Contact information of person making the request (email, phone number, etc.) if NOT a CHS staff member.
Briefly describe this student’s situation and what you are requesting (please be specific about the items or assistance requested).
 *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Eastern Carver County Schools. Report Abuse
Google Forms