Jayhawk Support Form 2022-2023

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The Julian PTO is committed to supporting all of our students and families to succeed and thrive, and a primary goal this year is to ensure families have all the support they need to get through the COVID-19 pandemic.

The purpose of Jayhawk Support is to provide direct aid and resources to families who may be struggling to provide basic needs such as food, clothing, school supplies, toiletries, etc. Aid will be in the form of gift cards as well as connection to local resources. As a disclaimer, please know we cannot guarantee we can meet every need, and this effort is not directly affiliated with D97.

Please complete the form below indicating any needs you have with your contact information so we connect you with aid and/or resources. This is completely voluntary and this information with be shared only with PTO Wellness Chair Meredith Farster, PTO Treasurers, & Julian School Social workers. If you have concerns or questions, email julianptowellness@gmail.com.

**Please note, due to limited funding, there is a max of $100 in assistance per family. If you have already received this amount, please do NOT complete this form. Email julianptowellness@gmail.com **

Parent/guardian name: *

Parent/guardian email: *

Parent/guardian phone number: *

Preferred method of contact: *

Phone

Both/either

If you chose phone as best way to reach you, please indicate the best time/s to reach you:

Please indicate your child/ren's names and current grade: *

Please indicate if your family has any current school supply needs(includes tech items such as headphones or computer mouse) *

Yes, we are in need of school supplies

No, we do not have need for school supplies

Please indicate if you are in need of food assistance currently and/or basic toiletries. *

Yes, we are in need of food assistance and/or basic toiletries. You will be contacted by the PTO to ascertain your specific needs.

No, we are not currently in need of food assistance or basic toiletries.

Please indicate if you are in need of clothing items for your family(including outerwear and shoes/boots) *

Yes, we are in need of clothing items.

No, we are not in need of clothing items at this time.

Are you in need of any other items not already mentioned above? If so, please let us know what you are in need of and we will contact you to try and meet your needs.

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