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Chelsea Heights Support Request Form
Do you need support from your Chelsea Heights staff or community? Start here!
Your responses and personal information are confidential, and will only be shared with the resource staff who will assist you.
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Are you a Chelsea Heights Family Member or Student?
Student
Parent/Guardian
What is your name and contact information (phone or email)?
Your answer
If you are a parent or guardian, who is your student?
Your answer
What type of support are you looking for?
Technology (iPad, Seesaw, Schoology)
Attendance
Behavior Concerns
Health/Safety Resources
Enrollment Questions
Other:
Clear selection
Tell us a little bit about what is going on (you don't need to be too specific)
Your answer
Who would you like to speak to regarding support?
Guillermo Maldonado Perez (Principal)
Jacob Blum (School Counselor)
Peter Shanedling (School Social Worker)
Mary Thor (School Nurse)
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