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Glennwood Student Referral
I will do my best to get to you quickly. Thank you!
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Your Name
*
Your answer
Teacher
*
Choose
Kindergarten--Kaplan
Kindergarten--Ronco
Kindergarten--Rose
1st--Bug/VanDuzer
1st--Jones
1st--Turnipseed
2nd--Jolley
2nd--Marion
2nd--Marquez
My problem is...
*
Check as many as you need.
Worried about school
Worried about home
Having trouble with another kid
Having trouble with an adult
Trying to do better but it's hard!
Confused
Missing someone
Can't concentrate
Other:
Required
I need to see you...
*
RIGHT AWAY! (Right Away = BIG problem) URGENT!!!
As soon as Possible (Medium Problem)
Sometime this week (Light Problem)
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