Outreach BHAS
We are here to support you during this difficult time. Please fill out the survey below so we will know what supports and resources we can help provide to you at this time.

Please note that you may not immediately receive a response back, however, we strive to be in contact with you within 3 business days.

If you are experiencing an actual emergency, please contact 911 and/or your local hospital.
Your name *
Your answer
Email address *
Your answer
What building(s) does your child(ren) attend? - check all that apply *
Required
What category best fits your needs? -check all that apply
Please provide a detailed statement of your need or question so that we can best respond.
Your answer
Number of students in your home attending BHAS *
Your student(s) name(s) - Provide full First and Last name *
Your answer
Do you have internet access at home? (to a devices besides a phone) *
How would you like to be contacted? - check all that apply
Contact phone number *
Your answer
Does your student have access to one of the following for educational use? *
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