Welcome!
Please use this form to submit CONFIDENTIAL requests for:
  1. Grocery gift cards/food resources (available through Holiday Meal Fundraiser)
  2. Holiday Gift Support
  3. New clothing from the MLC Clothing Closet or PTA Clothing Center
  4. Assistance with TriMet or transportation costs
  5. Housing or Utility Assistance
  6. Substance use/drug or alcohol use concerns
  7. Grief support
  8. Culturally affirming mental health support
  9. Other needs or resources
Requests are sent directly and confidentially to Clement Wilson (Social Worker)
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Email *
Your Name *
Student(s) Name *
Grade Level(s) *
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I would like to request support with … 
(check all that apply)
 *
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Briefly describe any details related to your request *
Your MLC Support team is available for students and their families. Would you like to have a meeting with someone to discuss your needs?
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What is your preferred method of communication?
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Please provide preferred phone number or email for communication
Anything else you'd like us to know?
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This form was created inside of Portland Public Schools.