The Clinton Middle School Care Team is an anonymous form to refer/request assistance for a friend in need. If you or a friend is in need of assistance with academics, bullying, clothing, emotional support, food, personal needs, social issues/family life, and more please complete this form to the best of your ability. Thank you for noticing and caring for a friend in need.
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Students Name *
Students Grade
Reason For Referral *
I am concerned because *
Additional Information
Person Referring Student (NOT REQUIRED)
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