2025-2026 JMP Group Request
Please complete this form to let the JMP know which groups you/the student are interested in. List the top 3 groups of interest. The JMP will check to determine that the student is in the best fitting group, and that student is not enrolled in more than one group at a time (in most cases). 

Groups start at various times throughout the year. Requesting the group does not guarantee that the student will be able to participate, but will do our best!

The JMP is planning to offer the following groups:
  • Anxiety Group/Solid Ground
  • Monarcas (Spanish-speaking girls)
  • Poetic'ly Speakin' (creative writing for African American students)
  • Rinconcito Latino (Spanish-speaking, immigrant students)
  • Self-Advocacy Group (for students with 504s)
  • Music Group (how to sue music as tool for supporting mental health)
  • Muslim Girls Support Group
  • Poetic'ly Speakin'
  • Skittles (LGBTQ+ students)
  • TUPE (education & advocacy re: substance use)
  • Young Men's Groups
  • Young Women's Groups
Sign in to Google to save your progress. Learn more
Email *
Name of person making this request *
Student's last name *
Student's first name  *
Group Choice 1: What is the TOP group choice? *
Group Choice 2: What is the SECOND group choice?

Select "not interested in other groups" if no 2nd choice. *
Group Choice 3: What is the THIRD group choice?

Select "not interested in other groups" if no 2nd choice. *
Does the student know that you are requesting this group?
 *
Do you have any questions or additional information to provide about this group request?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of West Contra Costa Unified School District.

Does this form look suspicious? Report

Google Forms