Golden Valley Student Support Request Form (Tier II)
UID (6 Digit Number)
Lupe Sanchez (A-C)
Patricia Janousek (D-I)
Janine Lynch (J-O)
Kerry Stevens (All 9th Grade except ELD and Special Education)
Ramon Cardenas (P-S)
Liliana McGee (All 9-12 ELD Students & T-Z)
Jill Halling (All Special Education Students)
Type of Concern
Behavior or Social-Emotional Only
All Academic, Behavior, and Social - Emotional
Briefly describe the reason for the request.
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This form was created inside of Kern High School District.
Terms of Service