Student Services Support for Covid-19

您的浏览器中未启用 JavaScript，因此无法打开此文件。请启用 JavaScript，然后重新加载。

Please use this form to access emotional and mental health support services from the School Psychologist, Social Worker, or other Student Services Personnel. This form will be accessed by staff Monday-Friday 6:45-2:30 and not on weekends. If it is an emergency please call 911.

电子邮件地址 *

Student's First Name: *

Student's Last Name: *

Parent/Guardian Name: *

Preferred email: *

Preferred Phone Number:

How can the Student Services team at South Meck support your family? *

Is this an immediate need? *

Yes

向我发送我的回复的副本。

提交

清除表单内容

切勿通过 Google 表单提交密码。

reCAPTCHA

隐私权条款

此表单是在 Charlotte Mecklenburg Schools 内部创建的。举报滥用行为

表单