JHS Family Support Needs Request
Please use this form to indicate areas of need so we can help! A JHS Staff member will respond as soon as possible and connect you with the appropriate resources.
Email address *
By providing your contact information on this request form, you are permitting us to share it with EPS staff and/or community partners. *
Required
Student First & Last Name / ID Number: *
Parent/Guardian Name / Person Making Request: *
Phone/Contact Number: *
Contact Email (if different from above):
Preferred method of contact: *
Needs Request (Rent, Employment, Food, Insurance, Mental Health, etc.): *
Additional Information or Questions:
A copy of your responses will be emailed to the address you provided.
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