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Mt Vernon Resource Assistance Form/ Mt Vernon Formulario de Asistencia de Recursos Familiares
2023-2024
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* Indicates required question
Parent Name / Nombre de Padre
*
Your answer
Parent Contact (Phone/Email) / Contacto de Padre (telefono/correo electronico)
*
Your answer
Student Name / Estudiante(s) Nombre
*
Your answer
Needed Resources / Solicitando Asistencia Con:
*
Food Box / Caja de comida
Rent / Renta
Electricity/ Electricidad
Clothing / Ropa
Gasoline / Gasolina
Child's holiday gifts / Regalo de Navidad
Child's birthday gifts / Regalo de cumpleaños
Transportation / Transportación
Assistance completing paperwork for school or medical services / Asistencia para completar documentos de la escuela o cuidado de la salud
Internet access / Acceso a Internet
Telephone access / Acceso telefónico
Counseling services / Servicios de asesoramiento
We don't need resources at this time but am able to donate/help others. / No tengo ninguna solicitud en este momento, pero es posible que puedo donar o ayudar a otras personas.
Other:
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