Request for Assistance
: Parent / Guardian
This referral system is for basic and social/emotional needs only. For academic support, please contact your student's counselor.
If this is an emergency, please call 911 or proceed to the nearest emergency room.
Student Information
Please provide information on the student who requires assistance.
If you have multiple students attending different schools, please submit a separate request for each student/school.
Parent/Guardian Information
Please provide contact information for the parent/guardian.
Request Information
Tell us more specifically what your need is.