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Here-to-Help Survey

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) while they are participating in distance or hybrid learning.

With Here-to-Help, SPEF is partnering with Stamford Public Schools (SPS) to make it easier for you to connect with multiple community resources that can help you navigate the challenges presented by these new learning models.

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:
Haley Argueta (English - hargueta@spefct.org – (475) 259-5870)
Genesis Basso (Spanish - gbasso@spefct.org – (475) 259-5871) 
 
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.
6. 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.
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.
Would you like to add another Parent/Guardian? *This question is required.
7. 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.
7. How can we help you? Please check all that apply. *This question is required.
8. Is this the first time you are looking for assistance?
9. Are you connected with any of the following community centers in Stamford?
  • * This question is required.
11. How did you hear about this program? *This question is required.
12. Who completed this form? *This question is required.
13. Referring Agency *This question is required.If a referring agency (i.e. school or community organization employee, social worker, case manager, etc), please provide your contact information for use by SPEF.
The parent/guardian is aware that I am making this referral on their behalf.
Please type your full name to agree: