Social Work Family Needs Assessment
Please fill out this form if you have a student attending a school within the State College Area School District and your family has any unmet needs as stated below. Once we receive the form, one of our Social Worker will contact you.
Please contact
studentservices@scasd.org
if you have any further questions or concerns related to Student Services including but not limited to: counseling services, school social workers, special education services, nursing services, ESL services, and/or equity services.
Please be assured that the information provided below will be kept CONFIDENTIAL and shared only with SCASD Support Services.
- The Social Work Team
* Required
Student Name(s)
*
Your answer
School(s)
*
State High School
Delta High School
Delta Middle School
HEARTS
RIT
Park Forest Middle School
Mount Nittany Middle School
Gray's Woods
Park Forest Elementary
Mount Nittany Elementary
Radio Park
Corl Street
Spring Creek
Easterly Parkway
Ferguson Township
Required
Parent/Guardian Name
*
Your answer
Physical Address
*
Your answer
Phone Number
*
Your answer
Email Address
*
Your answer
Area(s) of Need
*
Food
Basic Needs beyond housing and food
Housing
Referral/Assistance with SC Food Bank
State College Food Bank Pickup
SCASD Lunch Pickup
Mental Health Services
Community Resources/Services
Other:
Required
If in need of Food - Check all that may apply
Currently a member of SC Food Bank
Receiving Food Stamps
Receives Free and/or Reduced Lunch
If in need of Basic Needs - Check all that may apply
Clothes
Hygiene
Household Products
School Supplies
Other:
Do you have any other concerns we should know about?
Your answer
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