Services need to be requested each school year so please complete this form even if you are a returning family with the same need as last school year. Please understand this is NOT a guarantee of services. Each form will be reviewed and, in some cases, families must meet specific criteria to receive services. If a need arises anytime during the school year, please contact me directly at patricia.lunsfordshenkman@lcps.org


Information on this form will enable me as your Family Liaison to provide information and resources to assist and support your family. The form has several sections. Please complete each section. Your submitted form will come directly to me and all information will remain confidential. I will be in touch with you with any available information and resources related to the areas you check. If you have any questions, please contact me at patricia.lunsfordshenkman@lcps.org

*Please note that this form is ONLY for families NEEDING EXTRA resources throughout the school year.*
**Please DISREGARD this form if this does not apply to your family**

• Please remember this is for a NEED and NOT a convenience.
• During the year, please let us know if your circumstances change and you no longer need our assistance.
• All Information is confidential.

I will maintain this information and contact you directly as the services become available.  You may also contact me at any time during the year as needs arise.  

Although I will try to assist in any way that I can, please understand that this is NOT a guarantee that we can meet every need.
 
Upon receipt of your completed form I will contact you to obtain any additional information needed to fulfill your requests.  I will also include you on the email distribution list to send information throughout the year on community programs that are shared.  

Please feel free to contact me by email with any questions - patricia.lunsfordshenkman@lcps.org