Siskiyou Union High School District                      Parent and Student Request for Services
Dear Students and Families,  

As our students settle into the new school year, our staff members are quickly working to align needed supports for our students to help them achieve success now with their academic and interpersonal work.

Our Expanded Learning - Multi-Tiered System of Support outlines the variety of interventions we have available to support students and families.
Tier I  - Foundation/Preventative Measures for All Students - Universal
Tier II -  Interventions for Students Requiring Additional Support - Individualized
Tier III - Interventions for Students Requiring Intensive Support - Individualized

In addition to staff members working to align needed supports, students and parents can request services and support as they see needed. As parents are observing their students' progress through Aeries and daily interactions, please do not hesitate to enquire with staff and provide them with additional information that may help them align and provide services.

Link to Multi-Tiered System of Support Document

To request services, please provide us with information that will help us identify and align appropriate interventions. Complete and submit this form and a school representative will reach out to you within 48 hours.

This is a confidential form and process.
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Email *
High School *
Student First Name *
Student Last Name *
Parent First and Last Name *
Use the following Checkboxes to help describe the potential need for services. *
Please provide additional information that may help us provided requested services
A copy of your responses will be emailed to the address you provided.
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