Siskiyou Union High School District Parent and Student Request for Services

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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
https://docs.google.com/document/d/1c10qT4trJxYy82vWZC5oMX2inizHEEsmV8OQgPT2EHY/edit?usp=sharing

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.

Email *

High School *

Happy Camp

McCloud

Mount Shasta

Weed

Siskiyou Pathways - Independent Studies

Required

Student First Name *

Student Last Name *

Parent First and Last Name *

Use the following Checkboxes to help describe the potential need for services. *

Unsatisfactory grades in classes

Grades do not reflect ability

Needs assistance such as tutoring

Lacking organizational skills

Inappropriate behavior

Lack of desire to attend school

Lack of desire to complete assignments

Low motivation or possible depression

Lacks future goals and plans

Medical issues

Behavior issues at school or home

Needs assistance with organization

Parent/guardian would like assistance using Aeries and Google Classroom so they can help monitor students progress.

Other:

Required

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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