Vogel Intermdediate Family Needs Assessment Form
Throughout the year different organizations come to Vogel wanting to assist our students and families with school supplies, clothing, and other personal needs resources.  Under the Family Educational Rights and Privacy Act (FERPA), which protects the privacy of student educational records, we are prohibited from releasing any student information to these agencies without your permission.  The programs that we partner with vary from year to year to assist our students in some capacity.  By giving us permission to submit your information to these programs, it does not automatically mean you will receive assistance.  Most programs are limited and are based on the resources available.  

In addition to providing you with resources that might benefit your child or family, it also assists us greatly with knowing the needs of our campus.  As we prepare to offer group counseling and parenting resources, we would like to know of our students’ and families’ needs.  If there is a topic that you feel your child or family would benefit from, please place a check next to that topic.  If there is an interest that you don’t see, please feel free to add it and we will look into providing that group as it becomes available.  

Your information will only be used for the purpose of their assistance program(s).  The form should be returned to the Vogel Counselors – Megan Rekart (5th) or Racquel Johnson (6th).   If you have any questions, please feel free to contact your child’s counselor at 832-663-4300.

Thanks,
Megan Rekart (6th grade) & Racquel Johnson (5th grade)
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Student Name
Grade Level *
Required
Homebase Teacher
Phone Number
Address
Email Address
Will your child be needing any support or resources this school year? (If you choose YES, please continue filling out the remaining questions; If you choose NO, please stop here.)
Clear selection
Please list your child's name and note their Grade/Age and  Sizes for Shirts, Pants, Socks & Shoes (Ex. Jane Smith 6th, 11, Shirt - Youth Medium, Pants - 10, Socks - 9, Shoes -10) Child 1
Child 2
Child 3
Child 4
Resource Assistance
Group Topics
Please note any additional information that may help us better serve your child and/or family this school year.
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