Divine Child Community Need Request Form
We recognize that the presence of COVID-19 in our community will present challenges for individuals and families in the weeks to come. Please know that you are not alone. If you find yourself in need of support, please use this form to reach out. A support team member will be in contact with you within 24 hours.

Your responses will be kept as confidential as possible within our support team and the resources that we network with to access help. While we are limited in our ability to provide direct support, we are hopeful to at least connect you to resources aligned with your needs.
Name *
Your answer
What is the best way for our support team to contact you? *
Please include your contact information here. *
Your answer
If you have a student at Divine Child, please include their name(s) and grade level(s).
Your answer
Please rate the urgency of this need. (Please contact 911 for true emergencies.) *
Not immediate (support is needed within the Week)
Urgent (support is needed ASAP)
What is the nature of the support you are requesting? *
Please describe your needs. *
Your answer
Is there additional information you would like to share with our support team? A support team member will be in contact shortly.
Your answer
Never submit passwords through Google Forms.
This form was created inside of Divine Child High School. Report Abuse