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ALI Report
ASK your friend/peer if they are okay  
LISTEN to what is shared
INFORM a counselor or adult to help
"I am worried about a friend or peer and am asking the counselor to check in."

*Disclaimer: This form is ONLY checked during school hours on school days*

DUE to misuse of submitting this form we now require an email address for submissions - this information will ONLY be used if absolutely necessary and will not be shared with anyone but the counselor
Email *
Are  you a JHS Hope Squad Member? 
Student First & Last Name *
 This is the person you are worried or concerned about and is confidential - try your best with spelling their name
Student Grade
What are you concerned about? *
Please give as many details as possible - if you prefer to make an appointment with your counselor you can do that too!
Your name (optional)
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This form was created inside of State of South Dakota K-12 Data Center.

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