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!
~Mrs. Shanks
Email address *
Last name, First name *
(example: Shanks, Amanda)
Your answer
Date *
MM
/
DD
/
YYYY
Time *
Time
:
My problem is... *
(Check as many as you need)
Required
I need to see you...
Right away = BIG problem
The best day/time to get me is
(PLT time, Lunch, morning, afternoon, etc.)
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
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