Liberty High School Request for Support

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*Note: Academic referrals should NOT be submitted here. Please contact the counselor directly via email.

Updated: 8/13/24

Email *

Record my email address with my response

Name of student in need of support (Nombre del estudiante que necesita apoyo) *

Student's 6 digit number (if known) (Numero de 6 digitos del estudiante- si se sabe)

Name of person requesting support: (Nombre de la persona que solicita apoyo:) *

Person requesting services (Persona que solicita servicios) *

Self (Ser)

Family member (Miembro de la familia)

Teacher (Maestro)

Counselor (Consejero)

Staff member (Miembro del personal)

Friend (Amigo)

Other:

Grade (Grado) *

9th

10th

11th

12th

Counselor (if known) (Consejero)

Cecilia Racicot (A-De, Foster Youth)

Heather Graham (Dh-F, Support)

Kerri Ussery (G-L) (Apex)

Ryane Poulton (M-Ri)

Sylvia Morales (Ro-Z, English Learners)

Jennifer Ayres (PLTW)

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