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SMMUSD Family Support Request Form
Dear SMMUSD families and staff,

Our thoughts are with those of you who have lost homes to the Palisades fire or have been displaced. We are asking for the information below so we may reach out and share resources and supports for our families and staff during this challenging time.

Please complete the following survey if you are in need of support. We will provide resources, and referrals based on your responses. 

One survey per student please.

Thank you.
Dr. Antonio Shelton, Superintendent
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Email *
Parent First and Last name
Student First and Last Name *
What is the home address on file with your school? *
Current school attending:   *
Required
What is the status of your home? *
Do you plan for your student to continue attending their current school? *
What type of assistance/support does your family need? Please mark all that apply, so we can connect you with resources. 
Is there any other information you feel we need to know, to best support you? Please note in this space if your student needs school materials replaced such as Chromebooks, books, musical instruments, or sports team uniforms.
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