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ASMS Student Support Form
Use this form to meet with any of the adults listed below:
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Your name: (First and Last)
*
Your answer
Your Grade
*
6th grade
7th grade
8th grade
What would you like to do?
*
Report bullying / harassment
Meet with / Report something to my counselor (Ms. L - 8th or Ms. Kate - 6th/7th)
Meet with / Report something to Asst Principal
Meet with / Report something to Mr. Heacock (Dean of Students)
Meet with / Report something to Principal
Access the Family Resource Center (snack, clothing, food needs, school supplies) - Mrs. Jaydi
Meet with / Report something to Ms. Morton (ELD Support)
Meet with Ms. Stone (8th grade students - homework support, organization, high school questions, etc.)
Other:
Brief description or report of what you need assistance with...
Your answer
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