Student and Family Support Form

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Due to the additional challenges faced with the COVID-19 closures, we want to reach out to our families and provide resources to facilitate the continuous education of our Aztec scholars. Parents and Caregivers, we want to hear from you and we will do our best to connect you with the support you need. Thank you!

Student Name

Student Grade

Parent/Caregiver Name *

Phone Number *

I'm interested in participating in Cafe Azteca-Parent Informational Meetings (Wednesday's at 1:00 PM, online or via phone) *

Yes (Someone will contact you with information)

Not sure. Please contact me with more information.

My child has been able to access online learning materials provided by Azusa High School. (If the answer is no, please leave a message to make a chromebook appointment, 626-804-1970).

Yes

Clear selection

I need information on resources regarding:

Academic assistance (tutoring resources)

Internet support

Mental health (therapy) support for my child

Food insecurity

We are not struggling with any major issues

Other:

Clear selection

Questions/Concerns/Comments

Submit

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