Needs Assessment--Student
2017-2018
Current grade level
Name
Your answer
I need help with the following PERSONAL concerns:
Check ALL that apply to you.
Required
I need help with the following SCHOOL concerns:
Check ALL that apply to you.
Required
What are your plans after you graduate high school?
What job/career are you thinking about doing someday?
Your answer
Do you need a food backpack to take home with you over the weekends?
Anything else you think I might need to know or anything else you want me to help you with?
Your answer
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