Confidential Resource Checklist

Dear Parents/Guardians,

A number of resources exist to help Park Hill School District families.  If your family can benefit from any of the resources listed below, please check the service(s) you feel will be helpful.  All information received, and any service provided, is kept strictly confidential.  We look forward to providing support to your family!

Upon return of this completed form, the School Social Worker will either send you information or applications based on the needs indicated, or contact you directly for further information. By submitting this form, you give the School Social Worker permission to contact you and to provide referrals to community resources.If you have any questions, please feel free to contact the Graden School Social Worker, Julianne Ruwe at Ruwej@parkhill.k12.mo.us or (816) 359-6939.

1st Graden Student's Last name, First name: *
Additional Graden Student's Last name, First name:
Additional Graden Student's Last name, First name:
If you have additional children attending PHSD schools, please add them here (Last Name, First Name, School Attended)
Best phone number to reach you: *
Best time of Day to Call:
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