SEMS CARES! I need assistance!

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Date *

YYYY

Student First Name *

Student Last Name *

Student ID/Lunch Number

Student's Grade Level

6th Grade

7th Grade

8th Grade

Clear selection

Parent First and Last Name *

The person who needs a return call and/or email is a:

Parent

Student

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Best Telephone Number to Contact

Best Email Address to Contact

Preferred Method of Contact?

Phone

Either is fine.

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¿Necesitas traductor (a)?

Prefiero que me contacte alguien que hable español.

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What can we help with? Please mark all that apply.

I have a question about my child's IEP. (Yo tengo una pregunta acerca de mi hijo/a)

I have a question about my child's ESL/EL services. (Yo tengo una pregunta acerca de mi hijo/a y los servicios de ESL(English Second Language- Ingles como segunda lengua/idioma/EL (English learner (Aprendizaje de ingles))

I have a question about my child's 504. (Yo tengo una pregunta acerca del plan 504 de mi hijo/a)

I have a question about my child's AIG services. (Yo tengo una pregunta acerca de los servicios de AIG ()Academically Intellectually Gifted (Alto Nivel Academico) de mi hijo/a)

I need technology assistance. (Yo necesito asistencia en tecnologia)

I have a question for my student's counselor. (Tengo preguntas para el consejero/a de mi hijo/a)

I have a question for my student's administrator. (Yo tengo preguntas para el Administrador/a de mi hijo/a)

I need to change my address information. (Yo necesito cambiar la informacion sobre mi lugar de residencia (direccion))

I have a question and am not sure who can help. ( Yo tengo una pregunta y no se quien me pueda ayudar)

Tell us a few more details about your question(s). This allows us to expedite the question to the right person.

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