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Request for Support
This form can be filled out to request support from the WLS Support Team.
Please note that this form is only monitored during the school day (9:30 - 3:30 pm) when school is in session.
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* Indicates required question
Email Address
*
Your answer
First and Last Name
*
Your answer
I am a
*
Student
Staff
Parent
I or my student has an IEP or 504 Plan
*
Yes, IEP
Yes, 504 Plan
No
This request is in regards to
*
Personal/Social Concerns
Academic Concerns
I want to meet with
*
Deana Siekmann (Director)
Lisa Mostov (Assistant Director)
Amanda Koenen (Social Worker)
I am not sure who can help
I would like this person to contact
*
Just parent
Just student
Both parent and student
I would like to meet with someone
*
Today if possible
Tomorrow is fine
Later than tomorrow is ok
This time frame works best
*
9:00 - 10:00 am
10:00 - 11:00 am
11:00 - 12:00 pm
12:00 - 1:00 pm
1:00 - 2:00 pm
2:00 - 3:00 pm
3:00 - 4:00 pm
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