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Resource Services Request Form - Formulario de solicitud de servicios de recursos
Please fill out this form in order to better meet your request. A staff member will get back to you in a timely manner regarding your request form. Complete este formulario para satisfacer mejor su solicitud. Un miembro del personal se comunicará con usted de manera oportuna con respecto a su formulario de solicitud.
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* Indicates required question
Student's Name - Nombre del estudiante
*
Your answer
Parent/Guardian Name - Nombre de los padres/guardián
*
Your answer
Type of Resource Requested - Recursos necesitados
*
Chromebook
Internet
School Supplies (backpack,notebooks,organizer etc.) - Útiles escolares (mochila, cuadernos, organizador, etc.)
Home Care Supplies (gift cards, food, toiletries etc.) - Suministros para el cuidado del hogar (tarjetas de regalo, alimentos, artículos de tocador, etc.)
Other - Specify Below - Otro (escribe abajo si hay otros necesidades)
Resource - Other *Please Specify in detail if you selected "other" above. - Recurso - Otro * Especifique en detalle si seleccionó "otro" arriba.
Your answer
Address - Direccion
*
Your answer
Phone Number and/or Email Address - Numero de telefono y/o correo electronico
*
Your answer
Urgency - Urgencia
*
Within the next 5-10 days - Dentro de los próximos 5 a 10 días
1
2
3
4
5
As soon as possible - Tan pronto como posible
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