Student Support Request Form

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Student Support Request Form

Mrs. Sterling or Mrs. Iannoni are available between 9am and 4pm to check in with you on weekdays only. We will not be available during Thanksgiving break or Winter Break or any non student contact days. If this is a mental health emergency- call 911, go to the emergency room, or call the Colorado crisis line at 1-844-493-8255 or
Text “TALK” to 38255.

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* Indicates required question

Email *

Your email

First name *

Your answer

Last name *

Your answer

How are you feeling right now? *

Great!

Good

Ok

Worried or Anxious

Sad

Angry

Lonely

Stressed

Confused

Other:

Would you like to Mrs. Sterling or Mrs. Iannoni to reach out to you? *

Yes

No

No, just wanted to say "hi!"

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