Shanks Mail- LEAD Student Referral Form
Hey, LEAD students! Got a problem or just need to chat? Please feel out this form and I'll get to you as soon as I can.
Have a great day!
Last name, First name
(example: Shanks, Amanda)
My problem is...
(Check as many as you need)
Worried about school
Worried about home
Having trouble with another kid
Having trouble with an adult
Trying to do better but it's hard!
I need to see you...
Right away = BIG problem
Sometime this week
The best day/time to get me is
(PLT time, Lunch, morning, afternoon, etc.)
A copy of your responses will be emailed to the address you provided.
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