JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2025-26
Request for Support
We are here to support you!
It is our goal to provide
direct support
to meet the needs requested, in a timely and professional manner.
This form is open to requests from
Lassen County educators
for specific,
non-crisis
situations, to provide
professional growth and development
.
It is important to remember that all support is
voluntary
and the ideal situation is for all participants to self select their need for support.
This form must be completed by the requestor.
Requests should be used for
positive support
and is NOT designed as a punitive action or evaluation.
After the request is made, you will be contacted by an LCOE team member within 5 business days to ensure the appropriate support is provided.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First Name:
*
Your answer
Last Name:
*
Your answer
Role in Education:
*
Administrator
Teacher
Paraprofessional / Instructional Aide
After School Program
Other:
Primary School Site:
*
Choose
Big Valley Elementary
Big Valley Jr./Sr. High School
Susanville State Preschool
Sierra Primary
Herlong High School
Johnstonville Elementary School
Lassen High School
LUHS Community Day School
Credence High School
Long Valley Charter School
Thompson Peak Charter
Mt. Lassen Charter School
Juniper Ridge
Richmond Elementary School
Shaffer Elementary School
Diamond View Middle School
McKinley School
Meadow View School
Fletcher Walker Elementary
Westwood Jr./Sr. High School
Janesville Elementary School
Lassen County Office of Education
Grade(s) you teach or work with:
*
Preschool
TK
K
1st
2nd
TK - 2nd
3rd
4th
5th
3rd - 5th
6th
7th
8th
6th - 8th
High School (9th - 12th)
Schoolwide
Required
What is the best way to contact you to follow up on this request?
*
Email
Phone Call
Phone Number:
*
Your answer
What type of support are you
PRIMARILY
requesting?
*
Classroom Management & Best Instructional Practices (support for improving teaching practices and managing classroom environments effectively)
Curriculum Support (framework implementation and upcoming instructional material adoptions)
Educational Technology Integration (integration of applications, AI integration, student data privacy)
Supporting Emotional Literacy (social-emotional learning, creating safe & secure environments, enhancing coping skills)
Professional Learning (whole school or staff training)
Classroom Connections (In-Classroom modeling to support social/emotional barriers impacting academic instructional success for 4th- 12th grade students)
Mental Health First Aide (learning the signs and symptoms of mental health concern)
Care Team (a team of professionals available to assist in connecting families and schools to resources for student success)
Depression Awareness Education (ONLY for 6th-12th grade students)
PROTECT (Human Trafficking Prevention Education)
Additional Resources & Support for a Specific Student
Other:
If you are looking for Specialized Support Offerings (including SPED Teacher Support, Inclusive Learning Support, and SPED Paraeducator Support)
Specialized Support Offerings
Provide any information that you feel is relevant to your request.
*
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Lassen County Office of Education.
Does this form look suspicious?
Report
Forms
Help and feedback
Help Forms improve
Report