Interest in LGBTQ+ Support Services

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SCUSD's LGBTQ+ Support Services program offers a variety of services for queer and transgender youth throughout the school district. Please complete the form below to indicate how we can best provide support.

LGBTQ+ Support Services Staff:

Coordinator: Chanise Hendrix (she/her/sis)

LGBTQ+ Social Worker: Laura Magana (she/her/ella)

LGBTQ+ Social Worker: August Ford (they/them)

LGBTQ+ Student & Family Support Specialist: Daniel Buffington (he/they)

*This form does not update student information in Infinite Campus, this serves as a request to meet with staff to complete the update request form/learn about additional supports.

Email *

Affirmed Name (First, Last): *

Students name as it appears in Infinite Campus if different from above (first, last):

Grade:

Student ID#

Pronouns:

School/Organization:

I am a SCUSD student: *

Yes

I'm interested in learning about (select all that apply):

Infinite Campus Name and Gender Marker Update

Gender affirming products

LGBTQ+ protections in SCUSD

Starting a GSA (Gender & Sexuality Alliance) club

SCUSD's LGBTQ+ Task Force

Other:

Best way to contact (phone number or email): *

If you have any questions or comments, you're welcome to share them here.

LGBTQ+ Support Services hours of operation are Monday – Friday 8:00 a.m. – 5:00 p.m. Referrals will be responded to within 24 - 48 hours of submission.
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