TLC Application | Guardian Section

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STEP 1: Please complete this guardian section of the application
STEP 2: Please email the teacher you believes knows your student best requesting them to complete the teacher section: http://bit.ly/TLCAppNow
STEP 3: Please email any community supports you believe know your child well requesting them to complete the community supports section: http://bit.ly/TLCAppNow

We apologize for all of the demographic info requests but we need it to complete our email chains and info linking.

Email *

Student name as it appears in Infinite Campus: *

What is the student applicant's school email address: *

Guardian Phone Number *

What is one of the applicant's teachers email addresses? *

Please check all that apply *

Does not feel challenged in my current classes

Struggles to understand the information in my current classes

has trouble concentrating

Is often angry

Uses physical aggression when angry

Feels frequently overwhelmed

Is very respectful

Makes friends easily

Teachers believe in them

Can do anything that they put their mind to

Wants to go to college

Believes in themself

Other:

Required

Please explain why you feel the applicant will be successful at TLC: *

What interventions or services has the student received and have any been successful? *

Please share any additional information that you feel would be helpful in assessing the applicant:

A copy of your responses will be emailed to the address you provided.

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