학부모 또는 보호자 / Outreach Concern
Korean
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School Name/ 학교이름 *
Child Name/ 학생성명 *
Child Grade Level/ 학급 *
Referred by (your name)/ 학부모/보호자 성명 *
Contact Number (referring party)/ 연락처 *
Best time to call/ 가장 선호하는 연락시간 *
Language preferred?/ 선호하는 언어 *
Reason for Referral (Check all that apply)/ 의뢰서 원인 (모든 신청서를 검토) *
Required
Brief Description (check all that apply)/ 간략적인 서술 (모든 신청서를 검토) *
Required
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