What do you and your family need?
As we all adjust to the reality of social distancing, Bethel Community Services is assessing how our team can best support families and the community right now.

After completing this survey, we will add you as a subscriber to our Bethel Community Service newsletter to share additional resources and information; you can unsubscribe at any time. We appreciate your feedback and thank you for your time. We are all in this together!

Haga click para tener acceso al cuestionario en español: https://forms.gle/xT6XjeTbLh3DZdFSA
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Email: *
Does your student(s) attend the Bethel School District? *
If so, please check their current grade level(s):
Does your family qualify for any special programs?
How are you feeling about social distancing and the COVID-19 impact? *
It's a big struggle
I've got this!
Do you feel that you have the knowledge or know where to find the information needed to support you and your family during this time? *
What would make this adjustment easier for you?
Please check any of the following needs that apply to you or your family. *
Required
Do you need assistance accessing any of the benefits listed below?
What is one topic that we could develop a workshop/resource on right now to help support you and your family? *
Is there anything else that you would like to share with us or have questions about?
Zip Code: *
Would you like someone to reach out to you over the phone to offer support? *
Name & Phone number:
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