LHS Hurricane Relief Needs
Email address *
Student Name *
Your answer
Have you been displaced from your home?
If you have been displaced, what is your current address and with whom?
Your answer
What is a good phone number to reach your family? *
Your answer
Physical Needs
Do you need to speak with a student support team member to address your experience?
How much do feel like the hurricane impacted your family?
Minimal impact-I am mostly able to go through my daily activities without much interference
Extreme Impact-I am having significant difficulty or I am unable to participate in normal day to day activities.
Is there anything else you would like us to know about or need help with?
Your answer
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