Request For Assistance Form

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Please complete this referral to request support for yourself (student) or a DSUSD student. A copy of your form submission will be sent to the school counselor. / Por favor complete esta referencia para solicitar apoyo para usted (estudiante) o un estudiante de DSUSD. Se enviará una copia de su solicitud al consejero de la escuela.

If this is an emergency, do not complete this form as your sole request for assistance. If it is during regular school days/hours and the student is at risk of harming self or others, please contact your site administrator. If this is outside regular school days/hours, please contact local law enforcement. Indio (760) 391-4057, La Quinta (760) 863-8990, Palm Desert (760) 836-1600. / Si se trata de una emergencia, no complete este formulario como su única solicitud de asistencia. Si es durante los días / horas escolares regulares y el estudiante está en riesgo de lastimarse a sí mismo o a otros, comuníquese con el administrador de su escuela. Si esto ocurre fuera del horario escolar regular, comuníquese con la policía local. Indio (760) 391-4057, La Quinta (760) 863-8990, Palm Desert (760) 836-1600.

Are you a Desert Sands Unified School District employee? / ¿Es usted un empleado del Distrito Escolar Unificado Desert Sands? *

Yes / Si

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