JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Request for Scorpion Support/Solicitud de Ayuda
CONFIDENTIAL/CONFIDENCIAL: Please do not leave out for others to read/No deje este documento donde otros lo puedan leer
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Your Name/Su Nombre:
*
Your answer
Relation to Student/Parentesco al estudiante :
*
Parent/Guardian/Padre/tutor
Teacher/Maestro
I am the student/Yo soy el estudiante
Other:
Student Name/Nombre del estudiante :
*
Your answer
UID/Número de Identificación Universal
Your answer
Grade/Grado:
*
9th
10th
11th
12th
Next
Page 1 of 3
Clear form
Never submit passwords through Google Forms.
This form was created inside of Kern High School District.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
