Check-In Request with Student Services

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We hope that you are each doing well and staying healthy. We want to make sure that we are still providing students, families, and staff the best support that we can during the extended break. Please answer the questions below.

Mrs. Everhart
School Social Worker
Jackson Elementary School
meverhart@janesville.k12.wi.us
608-290-0346

Mrs. Martin
School Counselor
Jackson Elementary School
emartin@janesville.k12.wi.us
608-352-9227

Email *

Email Address *

First Name *

Last Name *

Grade *

1 point

2nd

3rd

5th

1st

4th

Would you like to check-in together this week? *

1 point

No, thank you

Yes, please

Required

Who would you like to check-in with

Mrs. Everhart

Mrs. Martin

What is the best way for us to connect with one another?

School Email (writing back and forth)

I don't need any support at this time.

Clear selection

I would like to talk about...

Send me a copy of my responses.

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