AJHS Community Referral for Support
Please utilize this form to submit a request for student support (Academic and Social-Emotional). This form will be checked routinely, but if this is an urgent request (student safety), please inform AJHS administrative staff immediately.
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Email *
Name of Person Completing Form *
Relationship to Student *
Student Name Last *
Student Name First *
Student ID
Concern *
Detailed Description of Concern *
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