Skip to content
INS - Student Needs Assessment
Students Needs Assessment
The Student Services Department wants to develop and provide programs that meet your needs. Please read and answer each question.
*
1.
First Name
(Required.)
*
2.
Last Name
(Required.)
*
3.
Student ID Number
(Required.)
*
4.
I am a student in the
(Required.)
High School
Middle School
5.
I would like help with
Child care
Medical appointments (doctor, dentist, therapist, counselor, eye doctor, etc.)
Food (if you or your family don't have enough to eat)
Housing
Personal hygiene (soap, deodorant, toothbrush, toothpaste, etc.)
Utility bills (water, electricity, gas, internet, etc.)
Other (please specify)
