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Here-to-Help Intake Form

Here-to-Help

*Haga clic en la esquina superior derecha de la página para ver este formulario en español.

Thank you for your interest in the Stamford Public Education Foundation’s (SPEF’s) Here-to-Help family engagement program. Please complete this form so we can determine the best ways to support the needs of your student(s).

With Here-to-Help, SPEF is partnering with Stamford Public Schools (SPS) to make it easier for you to connect with multiple community and school resources.

Your participation in this form constitutes your consent to be contacted by a SPEF Program Coordinator, who will contact you shortly regarding your responses. The form should take approximately 5 minutes or less to complete. Click “Submit” when you are finished.

*If you have more than one child, please fill out a separate form for each child

For questions, please contact:
Genesis Basso (English/Spanish): 475-259-5871
Luisa Enriquez (English/Spanish): 203-302-9847
This question requires a valid date format of MM/DD/YYYY.
calendar
2. Student Information: *This question is required.
3. Do you know your student's ID number? *This question is required.
4. Do you know your student's SASID number? *This question is required.
This question requires a valid date format of MM/DD/YYYY.
calendar
8. Parent/Guardian 1 (Please list the main caregiver who will be directly responsible for all communications with SPEF):
This question requires a valid email address.
Primary Phone? *This question is required.
What is your preferred language? *This question is required.
Would you like to add another Parent/Guardian? *This question is required.
9. Parent/Guardian 2:
This question requires a valid email address.
Primary Phone? *This question is required.
What is your preferred language? *This question is required.
What is the best way to contact you? *This question is required.
What is the best time of day to reach you by phone call? *This question is required.
9. How can we help you? Please check all that apply. *This question is required.
10. Is this the first time you are looking for assistance?
11. Are you connected with any of the following community centers in Stamford?
  • * This question is required.
13. How did you hear about this program? *This question is required.
14. Would you like to be added to our mailing list? *This question is required.
Diversity, Equity, & Inclusion
The Stamford Public Education Foundation is committed to policies and procedures that further promote diversity, equity, and inclusion (DEI) in all facets of its operations. The commitment to DEI is an acknowledgment that our organization’s success is linked to obtaining equitable representation at all levels of the foundation and that our mission’s success is only achieved through continuous investments in DEI.
15. How would you describe yourself? *This question is required.You may mark more than one.
16. What is your gender? *This question is required.
Please type your full name to agree: