School Social Work Services
Which School Social Work Services Would Benefit My Family?
Please check all that apply.
Application for Free/Reduced Lunch
Support with School Issues for my Child (Academics, Behavior, Attendance)
Division of Social Services Assistance (Food Stamps, Child Care, Child Support)
MO HealthNet/Medicaid information
Utility Assistance/ Rent Assistance
Household and/or Hygiene Assistance
Information/Support for Relationship Issues or Domestic Violence
Information/Support for Drug and Alcohol Issues in my Family
Employment Assistance, Information/Support for Loss of Job in my Family
Homeless Services Information
Medical Referrals (Doctor, Dentist, Eye Doctor)
Mental Health or Counseling Referrals/Assistance
Parenting Support or Information
Please fill out the following information:
CCE Cedar Creek Elementary
GWE Greenwood Elementary
HHE Hawthorn Hill Elementary
HGE Hazel Grove Elementary
HPE Highland Park Elementary
LSE Lee's Summit Elementary
LFE Longview Farm Elementary
MSE Mason Elementary
MLE Meadow Lane Elementary
PLE Pleasant Lea Elementary
PVE Prairie View Elementary
RHE Richardson Elementary
SPE Summit Pointe Elementary
SVE Sunset Valley Elementary
TRE Trailridge Elementary
UWE Underwood Elementary
WVE Westview Elementary
WLE Woodland Elementary
GBECC Great Beginnings Early Childhood Center
BCMS Bernard Campbell Middle School
PLMS Pleasant Lea Middle School
SLMS Summit Lakes Middle School
LSHS Lee's Summit High School
LSNHS Lee's Summit North High School
LSWHS Lee's Summit West High School
SRA Summit Ridge Academy
MP Miller Park
STA Summit Technology Academy
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What is your relationship to student?
Has family been contacted or is family aware this form is being filled out?
Is the school aware of this concern?
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