KCS Connect Family Needs Assessment
As a part of KCS Connect, needs assessments are being completed with each family to evaluate the need for additional supports in academic and nonacademic areas. For more information on KCS Connect please visit:
Please take a few moments to complete the below questions.
If you have an emergency, please call 911. If you suspect abuse or neglect of a child, you must call the Tennessee Department of Children's Services at 877-237-0004.
Name(s) of your child(ren)?
Child's grade level(s)
Your relationship to the child(ren).
Your Phone Number
Your child's phone number (if applicable)
Your child's email address
Your current physical residence address
Please check Social/Emotional topics your student(s) may need help and support in:
Reentry to school support
Healthy friendship/Building positive relationships
Self image/Self esteem
Understanding coping with grief
Other Social/Emotional topics not listed that may be helpful:
I would like to attend a parent/guardian workshop on the following topic(s):
Internet access/Internet safety
Helping your child succeed academically
Building positive relationships with your children
Grandparents as parents information
Other parent/guardian workshop topics not listed that may be helpful:
As a family we would like information on the following additional resources (check all that apply):
Homelessness or Housing assistance
Special Education Services
Other information or resources not listed that may be helpful:
Would you like school staff to follow up with you or your student(s) on a regular basis?
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This form was created inside of Knox County Schools.