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Family Needs Assessment
Dear Moorefield Station Families, In an effort to be more effective in meeting the needs of our families at Moorefield Station, I am sending this letter for every family to view and complete where appropriate. All of our communication is strictly confidential. Dalia Sharaf- Parent Liaison
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If you would like to provide assistance and donate to our families in need:
Yes, I would like to become a part of the Needs Network to provide assistance and donate to our families in need. I understand by providing my email or cellphone that I will be contacted from time to time when there is a need to be filled.
Yes
Name
First Name
Last Name
Email
example@example.com
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If you are a family who anticipates needing assistance of any kind this year school year:
Services need to be requested each school year so please complete this form even if you are a returning family with the same need as last school year. Please understand this is not a guarantee of services. If a need arises anytime during the school year, please contact me directly at Dalia.Sharaf@lcps.org.
Name
First Name
Last Name
Email
example@example.com
Child's Name:
Child's Grade Level
Please Select
K
1
2
3
4
5
Child's Homeroom Teacher:
Assistance Needed:
School Supplies
Bookbag
Clothing
Friday Food Bags
Thanksgiving Meal
Winter Break Holiday Gifts
Submit
Should be Empty: