Crusader request for support form/ Crusader pedir ayuda forma
If you feel you are in crisis after school hours, please contact one of the following hotlines for support/ Si necesitas ayuda despues de los horas de escuela habla a estes numeros de telefono: TEEN LINE 310-955-4673 or 800-852-8336 the National Suicide Prevention Lifeline is 800-273-8255.
Your Name/ Tu Nombre *
Your student ID number/ Tu numero de estudiante *
What do you need help with?/ En que necesitas ayuda? *
Do you want to talk to someone specific about the problem, if so who? Si quiere hablar con alguien specifico, quien sera? *
What is the best way to contact you? Que es la manera mejor para contactarlo? Example: Please call me- 661-325-2222 *
Additional information you would like us to know? Si tiene informacion adicional que quiere que savemos?
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