VPE Social/Emotional Resources and Support Request Form

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Your Name: *

Student(s) Name(s): *

Please include your preferred phone number below: *

Please include your preferred email address below: *

I am seeking assistance from the VPE Student Support Team regarding: *

Outside counseling for my student(s)

School counselor check-in with my student

Parenting Resources

Food Bag program interest

Clothing/ Hygiene/ Basic Needs Assistance

Community Agency Referrals and Information (Utilities/ Housing/ Food/ Health)

Other:

Additional information that would be helpful for the Student Support Team to know regarding my request(s):

I am interested in checking out the following book from the FRC:

Parenting Toolbox (125 Activities Therapists Use to Manage Emotions, Increase Positive Behavior, & Reduce Meltdowns)

What to Expect When You're Expecting

Playful Parenting (Lawrence J. Cohen)

El Cuidado De Su Hijo Pequeno

Que Puedes Esperar en el Primer Ano

Social Media and the Internet (Meg Greve)

Surviving Family Violence (Banks & Giacobello)

What To Expect When the New Baby Comes Home (Murkoff/Rader)

Que Puedes Esperar Cuando Estas Esperando

Parenting a Child Who Has Intense Emotions (Harvey & Penzo)

Your Child's Health (Barton D. Schmitt)

Mayo Clinic Guide to a Healthy Pregnancy

How Toddlers Thrive (Tovah P. Klein)

What to Expect the First Year

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