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Student Request for Assistance
Please use this form to request a meeting with a support staff member from school.
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* Indicates required question
Email
*
Your email
Student Name (First and Last)
*
Your answer
Grade
*
6
7
8
Please choose what you need support in:
*
Academics (grades, classes, assignments, StudentVUE, etc.)
Peer issues (friends, classmates, team members, relationships, etc.)
Personal issue (family, mental health, stress, anxiety, depression, etc.)
Medical reason (feeling unwell, questions regarding health/COVID, etc.)
Other:
Who would you like to meet with?
*
Mr. Baker (Principal)
Ms. Erby (Assistant Principal)
Ms. Blacknell (Assistant Principal)
Ms. Green (Dean)
Ms. Ashbaugh (6th grade counselor)
Mrs. O' Connor (7th grade counselor)
Ms. Wong (8th grade counselor)
Ms. Thary (School Social Worker)
Ms. Jackie (Community Health Outreach Worker)
Nurse Hudgins (Nurse)
Ms. Sherman (Family Liaison)
Ms. Rodriguez (Family Liaison)
Other:
How would you like us to contact you?
*
School email
Phone (will call your parent/guardian)
Other:
Please write a short summary of issue or what you would like to talk about.
*
Your answer
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