Family Support Assessment 2022

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In an effort to continue to support our community, we are re-assessing the health, service, and resource needs of our families. To better determine the current areas of greatest need, we are asking ANY family experiencing need to complete this survey. This survey is confidential and will only be shared with our social worker and student support teams.

Email *

I have children in the: (select all that apply) *

Elementary Academy (PK-5)

Junior Academy (6-8)

Senior Academy (9-12)

Required

I am experiencing need in the following areas: *

Academic Assistance (tutoring, parent training)

Food/Groceries

Mental Health Services (resources or culturally competent provider info)

Technology (internet access, devices, etc.)

Utilities (gas or electric)

Other:

Required

I would like to be contacted by someone to address my specific needs. *

Yes

Required

Contact info

Please complete this section if you would like us to contact you.

Your name

Phone number

E-mail

Preferred contact method

Phone

Questions and comments

Submit

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