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Social Work Help Form-MPC
Want to talk about something or worried about a friend? Fill out this form and someone will be in touch.
***IF THIS IS AN EMERGENCY, PLEASE CALL 911***
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* Indicates required question
Email
*
Your email
Your Full Name
*
Your answer
Room # or Main Teacher
Your answer
What do you want to talk about?
*
My Friends
My Family
My Teachers/ School Work
Myself
Other:
Tell me more about your concern.
Your answer
How Urgent is your Concern?
*
It is very important
It can wait
What is the best way to contact you?
*
Email
Phone (Call home to parent/ guardian)
Schoology/ Seesaw
Google Classroom
Other:
If phone or email, please list the specific email address or phone number.
Your answer
A copy of your responses will be emailed to the address you provided.
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