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.
* Required
Email address
*
Your email
By providing your contact information on this request form, you are permitting us to share it with EPS staff and/or community partners.
*
Yes
Required
Student First & Last Name / ID Number:
*
Your answer
Parent/Guardian Name / Person Making Request:
*
Your answer
Phone/Contact Number:
*
Your answer
Contact Email (if different from above):
Your answer
Preferred method of contact:
*
Choose
Phone call
Text
Email
Needs Request (Rent, Employment, Food, Insurance, Mental Health, etc.):
*
Your answer
Additional Information or Questions:
Your answer
A copy of your responses will be emailed to the address you provided.
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