Appointment Request Form

Welcome!

Does your child need instructional supports and services made possible by Public Law 107-110 Elementary and Secondary Education Act of 1965 (ESEA), recently reauthorized as the Every Student Succeeds Act (ESSA), or Public Law 100-77 The McKinney-Vento Homeless Assistance Act of 1987, recently reauthorized in 2002?

If yes, please fill out this form and a staff member
will contact you shortly.

All four elementary schools receive grant funds annually from the US Department of Education under ESEA/ESSA Title I-A for improving basic programs. As well, some ESEA/ESSA programs and services are available districtwide. Programs and services include but are not limited to:
- K-5 Response to Intervention support including small groups and/or classroom push-ins (Conger, Mills, Pelican, Roosevelt)
- K-12 Foster Student support
- K-12 Homeless Student support
- K-12 Migrant Education
- K-12 Title III Language and Instruction for English Learners and Immigrants
- K-12 Title VI Indian Education Program
Thanks!
Please select the staff member(s) you wish to make an appointment with:*

Fred Bartels, Director of School ImprovementChristine Redford, Student Services Administrative AssistantMichelle McCabe, Federal Programs TOSASusan Pruna, English Language Learner and Migrant TOSAEvan Gallagher, Title VI Home/School LiaisonKirstin Doveri, District Homeless and Foster LiaisonConger Title I-A Liaison Sarah AlvesMills Title I-A Liaison Elizabeth MitchellPelican Title I-A Liaison Michelle FloresRoosevelt Title I-A Liaison Peter Olson
Full Name*

First NameLast Name
Phone

Area CodePhone Number
E-mail
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
What days work best for you?*

MondayTuesdayWednesdayThursdayFriday
What time(s) works best for you?*

Morning (7:30-10:00 a.m.)Midday (10:00 a.m. to 2 :00 p.m.Afternoon (2:00-5:00 p.m.)After 5:00 p.m. (by telephone only)
Any specific date/time?

MonthDayYearHourMinutesAM/PM Option
Should be Empty: