KCS Connect Family Needs Assessment
Dear Parent/Guardian,

As a part of KCS Connect, needs assessments are being completed with each family to evaluate the need for additional supports in academic and nonacademic areas. For more information on KCS Connect please visit:

Please take a few moments to complete the below questions.

If you have an emergency, please call 911. If you suspect abuse or neglect of a child, you must call the Tennessee Department of Children's Services at 877-237-0004.
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Email *
Name(s) of your child(ren)? *
Child's grade level(s) *
Teacher Name(s)
Your Name *
Your relationship to the child(ren). *
Your Phone Number *
Your child's phone number (if applicable)
Your child's email address
Your current physical residence address *
Please check Social/Emotional topics your student(s) may need help and support in:
Other Social/Emotional topics not listed that may be helpful:
I would like to attend a parent/guardian workshop on the following topic(s):
Other parent/guardian workshop topics not listed that may be helpful:
As a family we would like information on the following additional resources (check all that apply):
Other information or resources not listed that may be helpful:
Would you like school staff to follow up with you or your student(s) on a regular basis? *
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