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To consult with Franklin staff about your child:
Please answer the questions below.
A Franklin COST member will contact you to discuss needs and services.
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Email
*
Your email
Child's name
*
Your answer
Your name
*
Your answer
Your relationship to the child
*
Your answer
Your email
*
Your answer
Child's grade
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k
1
2
3
4
5
Areas of concern:
*
(check all that apply)
academics
behavior
social-emotional health
attendance
physical health
need for food, shelter or clothing
Other:
Details:
Include your concerns and anything about your child that you would like us to consider.
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Your contact info:
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Please provide the phone number or email address you prefer we use.
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