Request edit access
Care Team Request Form for Inglemoor students and families only. 
This form can be filled out by the person needing assistance or a staff member referring a student.  This form will request funds and assistance from the Inglemoor Care Team.    Emergency food, clothing, field trip assistance, sports ect.  Fill the form out to the best of your ability.  
Email *
Name of person filling out form
Student First Name
Student Last Name
Is the student eligible for free and reduced lunch
Clear selection
Student or Family Email Address
Graduating Year
I would like access to the Inglemoor food bank or Hygiene/clothing closet.
Clear selection
I would like assistance with other items.  Please take a moment to describe what you need assistance with.  Inglemoor cannot guarantee that we can meet your request but will work to connect you with other resources. 
Is it ok for a Care Team member so reach out to the student directly ?
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Northshore School District.

Does this form look suspicious? Report

Google Forms