Online Help through SAFE After School
Please fill out this form for a teacher to call home and help you.  We will try to call you on the same day if you fill this form out before 3:00.  

Between 3:00-4:00 Monday - Thursday, you can log onto https://meet.google.com/ and search for the meeting by searching for
RCMSSAFE
to see if we already have a live chat going on.

Sign in to Google to save your progress. Learn more
Email *
Have you signed up for SAFE yet with a form?  (if not, don't worry, we will still help you) *
What is your first name? *
What is your last name? *
What is a good phone number to call you at?  Please type in the area code as well.  Use the xxx-xxx-xxxx format please. *
Whose phone number is it?  Please write the name of the person who owns the phone.   *
What grade level are you in? (your student) *
What subject do you need help with?  Check all that applies. *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of NYE COUNTY SCHOOL DISTRICT. Report Abuse
Google Forms