Pulaski County Public Schools Needs Assessment
Please complete this form based on your youngest child. If you will have multiple children attending Pulaski County Public Schools during the 2020-2021 school year, question 9 allows you to list sibling information.
Parent's Name (Last, First)
Parent's Phone Number (most accessible)
Student's Name (Last, First)
Student's Birth Date (MM/DD/YYYY)
Grade for 2020-2021 School Year
Riverlawn Elementary School
Pulaski Elementary School
Dublin Elementary School
Critzer Elementary School
Snowville Elementary School
Pulaski County Middle School
Pulaski County High School
Siblings in school (name, grade and school)
I plan on my child riding the bus to and from school daily.
I will provide transportation for my child to and from school daily.
I will provide transportation to and from school for my child on the following days: (please indicate the days you plan to provide transportation for your child on the following line titled "other".)
My child has reliable access to the internet.
My child has limited access to the internet.
My child does not have access to the internet.
Does your child need assistance with the following health, safety and basic needs?
Mental Health Care
Would you like for the school counselor to check in with your child when school starts?
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This form was created inside of Pulaski County Public Schools.