Student Ally Sheet
This survey should be filled out during homeroom (second period). Please answer the following questions honestly. These questions are intended to help teachers and other school staff better support you intellectually and emotionally.
First Name *
Last Name *
Second period teacher's name *
Grade Level *
Use the drop down menu to select one staff member (teacher, administrator, counselor, other staff) who you feel comfortable talking to and/or asking for help. If there is not a member on staff you feel comfortable going to, select the first option. *
If applicable, use the drop down menu to select a second staff member (teacher, administrator, counselor, other staff) who you feel comfortable talking to and/or asking for help.
If applicable, use the drop down menu to select a third staff member (teacher, administrator, counselor, other staff) who you feel comfortable talking to and/or asking for help.
Submit
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