{"id":584,"date":"2022-01-28T19:19:41","date_gmt":"2022-01-28T19:19:41","guid":{"rendered":"https:\/\/anewlifeinchristministriesandresources.com\/?page_id=584"},"modified":"2026-08-18T11:01:11","modified_gmt":"2026-08-18T11:01:11","slug":"school-resource-referral-form","status":"publish","type":"page","link":"https:\/\/anewlifeinchristministriesandresources.com\/es\/school-resource-referral-form\/","title":{"rendered":"School Resource Referral Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"584\" class=\"elementor elementor-584\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-992f9b9 elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"992f9b9\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4870c35\" data-id=\"4870c35\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-66b5646 elementor-widget elementor-widget-html\" data-id=\"66b5646\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<!--\r\n================================================================================\r\nSCHOOL RESOURCE REFERRAL FORM \u2014 INTRO BLOCK\r\n\/school-resource-referral-form\/\r\nElementor HTML Widget \u00b7 Build v1.0 \u00b7 August 18, 2026\r\n\r\nINSTALL\r\n  1. Edit \/school-resource-referral-form\/ in Elementor\r\n  2. Add an HTML widget ABOVE the existing Form widget\r\n  3. Paste this file\r\n  4. Delete the old one-line intro: \"This form is to be completed by school\r\n     personnel. Should you have any questions please do not hesitate to\r\n     contact us.\" It is replaced by this block.\r\n\r\nOPTIMIZED FOR AI EXTRACTION\r\n  \u00b7 Definitional first sentence \u2014 what this is, who it is for, in one line\r\n  \u00b7 Full entity name, not \"we\", 9 times\r\n  \u00b7 Question-shaped H3s a person would actually type\r\n  \u00b7 An extractable at-a-glance table\r\n  \u00b7 Self-contained: every block makes sense lifted out on its own\r\n\r\n*** FOUR THINGS ON THE FORM ITSELF THAT NEED ATTENTION ***\r\nSee the notes at the end of this file.\r\n================================================================================\r\n-->\r\n\r\n<div class=\"anl-sref\">\r\n\r\n<style>\r\n.anl-sref *, .anl-sref *::before, .anl-sref *::after{box-sizing:border-box !important;}\r\n.anl-sref{font-family:-apple-system,BlinkMacSystemFont,\"Segoe UI\",Roboto,\"Helvetica Neue\",Arial,sans-serif !important;\r\n  font-size:17px !important;line-height:1.68 !important;color:#14201B !important;\r\n  -webkit-text-size-adjust:100% !important;}\r\n\r\n\/* Weight and specificity guard. 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It is <strong>not monitored around the clock<\/strong>, and submitting it does not alert anyone immediately.<\/p>\r\n    <p>Call <a href=\"tel:911\">911<\/a> for immediate danger &nbsp;&middot;&nbsp; <a href=\"tel:988\">988<\/a> for the Suicide &amp; Crisis Lifeline, 24 hours &nbsp;&middot;&nbsp; <a href=\"tel:211\">211<\/a> for 24-hour crisis counseling in English, Spanish and Creole &nbsp;&middot;&nbsp; <a href=\"tel:18009622873\">1-800-962-2873<\/a> for the Florida Abuse Hotline<\/p>\r\n  <\/div>\r\n\r\n\r\n  <!-- ===== WHAT THIS IS \u2014 definitional, answer-first ===== -->\r\n  <div class=\"anl-srefhero\">\r\n    <span class=\"anl-srefeyebrow\">For school personnel only<\/span>\r\n    <h2>School Resource Referral Form<\/h2>\r\n    <p>This form connects a student and their family to free services from A New Life in Christ Ministries and Resources, a faith-based 501(c)(3) nonprofit serving Miami-Dade and Broward Counties since 1984. It is completed by school staff, not by families.<\/p>\r\n    <p><strong>You can refer up to seven students in one submission.<\/strong> Leave the extra student blocks blank if you are referring fewer.<\/p>\r\n    <p><strong>Are you a parent or family member?<\/strong> This is not the right form. <a href=\"https:\/\/anewlifeinchristministriesandresources.com\/get-help\/\">Request an appointment here<\/a> instead, or call (786) 396-3144.<\/p>\r\n  <\/div>\r\n\r\n\r\n  <!-- ===== AT A GLANCE \u2014 extractable ===== -->\r\n  <table class=\"anl-sreftable\">\r\n    <tbody>\r\n      <tr><th scope=\"row\">Who completes this form<\/th><td>School counselors, social workers, teachers, administrators and other school personnel<\/td><\/tr>\r\n      <tr><th scope=\"row\">Students per submission<\/th><td>Up to seven<\/td><\/tr>\r\n      <tr><th scope=\"row\">Cost to the family<\/th><td>Free. A New Life in Christ Ministries and Resources never charges families.<\/td><\/tr>\r\n      <tr><th scope=\"row\">Cost to the school<\/th><td>Free<\/td><\/tr>\r\n      <tr><th scope=\"row\">Counties served<\/th><td>Miami-Dade and Broward, Florida<\/td><\/tr>\r\n      <tr><th scope=\"row\">Time to complete<\/th><td>About 5 minutes for one student<\/td><\/tr>\r\n      <tr><th scope=\"row\">What you need<\/th><td>Student name, date of birth, grade and school; parent or guardian name, address, phone and email; your own name, phone and email<\/td><\/tr>\r\n      <tr><th scope=\"row\">Response<\/th><td>Staff contact the family directly, then confirm back to you<!-- VERIFY IR-17: add the real timeframe. \"We will be in touch\" is the single biggest reason a referrer chases up or gives up. --><\/td><\/tr>\r\n      <tr><th scope=\"row\">Questions before you submit<\/th><td><a href=\"tel:+17863963144\">(786) 396-3144<\/a><\/td><\/tr>\r\n    <\/tbody>\r\n  <\/table>\r\n\r\n\r\n  <!-- ===== QUESTION-SHAPED HEADINGS ===== -->\r\n  <div class=\"anl-srefpanel\">\r\n    <h3>Who is this form for?<\/h3>\r\n    <p>School personnel in Miami-Dade County and Broward County who have identified a student whose family needs support. That includes counselors, social workers, teachers, attendance staff, McKinney-Vento liaisons and administrators.<\/p>\r\n    <p>A New Life in Christ Ministries and Resources works with Miami-Dade County Public Schools Title I schools, Project UP-START, and the Broward County Public Schools HEART program.<\/p>\r\n\r\n    <h3>What happens after I submit?<\/h3>\r\n    <p>Staff at A New Life in Christ Ministries and Resources contact the parent or guardian directly using the details you provide. They screen the whole household rather than the single presenting need, complete any benefit applications the family qualifies for, and refer the family to partner organizations for anything outside their scope. You are then told the family has been served.<\/p>\r\n\r\n    <h3>Do I need parent permission first?<\/h3>\r\n    <p><strong>Yes.<\/strong> This form asks for the student's name, date of birth, and parent contact details. Under FERPA, sharing personally identifiable information from a student's education record with an outside organization generally requires written parental consent. Follow your district's process before submitting.<\/p>\r\n    <p>If you do not yet have consent, you can still call <a href=\"tel:+17863963144\">(786) 396-3144<\/a> to discuss the situation without naming the student.<\/p>\r\n\r\n    <h3>What services can I request?<\/h3>\r\n    <p>The checklist further down covers food assistance, help applying for benefits, health coverage, housing and shelter support, mentoring, employment help and more. <strong>Tick everything that might apply.<\/strong> Staff will work out what the family actually qualifies for, so you do not need to know which program fits.<\/p>\r\n\r\n    <h3>Can I refer more than one student?<\/h3>\r\n    <p>Yes. This form has seven student blocks. Use as many as you need for siblings in the same household, or for several students from your caseload. Leave the rest blank.<\/p>\r\n\r\n    <h3>Is there any cost?<\/h3>\r\n    <p>No. Every service is free to the family and free to the school. A New Life in Christ Ministries and Resources is a registered 501(c)(3) nonprofit and a MyACCESS Partner with the Florida Department of Children and Families.<\/p>\r\n  <\/div>\r\n\r\n\r\n  <!-- ===== BEFORE YOU START ===== -->\r\n  <div class=\"anl-srefpanel\">\r\n    <h3>Before you start<\/h3>\r\n    <ul class=\"anl-srefcheck\">\r\n      <li><strong>Have parent or guardian contact details ready.<\/strong> The form cannot be actioned without a working phone number.<\/li>\r\n      <li><strong>It does not save partway through.<\/strong> Finish in one sitting.<\/li>\r\n      <li><strong>Include your own contact details.<\/strong> Staff confirm back to the referring school, and they need somewhere to send it.<\/li>\r\n      <li><strong>Only share what you are authorized to share.<\/strong> Follow your district's consent process first.<\/li>\r\n      <li><strong>Not sure this is the right route?<\/strong> Call <a href=\"tel:+17863963144\">(786) 396-3144<\/a> before submitting.<\/li>\r\n    <\/ul>\r\n  <\/div>\r\n\r\n<\/div>\r\n<\/div><!-- \/.anl-sref -->\r\n\r\n\r\n<!--\r\n================================================================================\r\nFOUR THINGS ON THE FORM ITSELF THAT NEED ATTENTION\r\n================================================================================\r\n\r\n1. TWO SERVICE OPTIONS CARRY LANGUAGE ALREADY FLAGGED AS M3\r\n\r\n   The Services Requested checklist includes:\r\n       \"Credit Restoration\"   ->  should read \"Credit education\"\r\n       \"Financial Advisor\"    ->  should read \"Financial coaching\"\r\n\r\n   \"Credit restoration\" is closely associated with credit repair\r\n   organizations, which are regulated under the federal Credit Repair\r\n   Organizations Act and Florida statute. \"Financial advisor\" implies a\r\n   licensed role. Both were corrected everywhere else on the site during the\r\n   rebuild. This form was missed.\r\n\r\n2. THE SERVICE LIST PROMISES A GREAT DEAL \u2014 IS ALL OF IT AVAILABLE?\r\n\r\n   Twenty-four options are offered, including immunizations, temporary\r\n   shelter, utility payments, drug addiction services, job placement, first\r\n   time home buyer, notary, tax preparation, business start up, OBGYN, home\r\n   health agency and occupational therapy.\r\n\r\n   This is IR-9 and IR-4, both still unanswered: which services are delivered\r\n   in-house versus referred, and what capacity exists for each.\r\n\r\n   A school counselor who ticks \"Assistance with temporary shelter\" for a\r\n   family sleeping in a car has made a promise on the organization's behalf.\r\n   If that service is not available, the counselor is the one who has to go\r\n   back and tell them.\r\n\r\n   RECOMMENDATION: mark each option as either \"we provide this\" or \"we refer\r\n   you to a partner\", or remove anything that cannot be delivered today.\r\n\r\n3. \"IMMIGRATION SERVICES\" \u2014 same UPL issue flagged on the immigration page\r\n\r\n   Change to \"Immigration resources and referrals\" to match the wording\r\n   already agreed for the rest of the site.\r\n\r\n4. NO CONSENT CHECKBOX ON THE FORM\r\n\r\n   The intro above states the FERPA position, but the form itself has no\r\n   acknowledgement. Consider adding a required Acceptance field:\r\n\r\n       \"I confirm I have the parent or guardian consent required by my\r\n        district to share this student's information.\"\r\n\r\n   It costs one field and it protects both the school and the ministry.\r\n\r\n--------------------------------------------------------------------------------\r\nALSO\r\n--------------------------------------------------------------------------------\r\n  \u00b7 Delete the old one-line intro. This block replaces it.\r\n  \u00b7 The page is currently \"index, follow\". That is correct \u2014 school staff\r\n    should be able to find it. But it means the service list above is\r\n    publicly visible and indexable, which raises the stakes on point 2.\r\n  \u00b7 Confirm this form does not duplicate \/referral-screening-form\/. That one\r\n    is a clinical intake for behavioral health. This one is a school resource\r\n    referral. They look similar and serve different purposes \u2014 if the overlap\r\n    confuses referrers, consolidate deliberately rather than leaving both.\r\n  \u00b7 Set the redirect after submit to \/school-referral-received\/ rather than\r\n    the family confirmation page. A counselor does not need \"gather your photo\r\n    ID and pay stubs\".\r\n================================================================================\r\n-->\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e51be2c elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"e51be2c\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-afd900b\" data-id=\"afd900b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e3359b7 elementor-widget__width-initial 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value=\"584\"\/>\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-above\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_baa063b elementor-col-30 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_baa063b\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tStudent Name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_baa063b]\" id=\"form-field-field_baa063b\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"First &amp; Last Name\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_3578b50 elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3578b50\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tStudent Date of Birth\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_3578b50]\" id=\"form-field-field_3578b50\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" required=\"required\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_48af1db elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_48af1db\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGrade Level\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_48af1db]\" id=\"form-field-field_48af1db\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"Pre-K\">Pre-K<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Kindergarten\">Kindergarten<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"1st\">1st<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2nd\">2nd<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3rd\">3rd<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4th\">4th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5th\">5th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"6th\">6th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"7th\">7th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"8th\">8th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"9th\">9th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"10th \">10th <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"11th\">11th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"12th\">12th<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_460644d elementor-col-40\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_460644d\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tName of School \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_460644d]\" id=\"form-field-field_460644d\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_5cbafd1 elementor-col-40\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_5cbafd1\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSchool Address\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_5cbafd1]\" id=\"form-field-field_5cbafd1\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"School Address City, State, Zip Code\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_46b4aad elementor-col-30\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_46b4aad\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tStudent Name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_46b4aad]\" id=\"form-field-field_46b4aad\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"First &amp; Last Name\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_b8711c4 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_b8711c4\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tStudent Date of Birth\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_b8711c4]\" id=\"form-field-field_b8711c4\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_9d833b2 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_9d833b2\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGrade Level\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_9d833b2]\" id=\"form-field-field_9d833b2\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"Pre-K\">Pre-K<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Kindergarten\">Kindergarten<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"1st\">1st<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2nd\">2nd<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3rd\">3rd<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4th\">4th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5th\">5th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"6th\">6th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"7th\">7th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"8th\">8th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"9th\">9th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"10th \">10th <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"11th\">11th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"12th\">12th<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_3640392 elementor-col-40\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3640392\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tName of School \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_3640392]\" id=\"form-field-field_3640392\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_964ce89 elementor-col-40\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_964ce89\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSchool Address\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_964ce89]\" id=\"form-field-field_964ce89\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"School Address City, State, Zip Code\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_63a44aa elementor-col-30\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_63a44aa\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tStudent Name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_63a44aa]\" id=\"form-field-field_63a44aa\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"First &amp; Last Name\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_3f131c8 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3f131c8\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tStudent Date of Birth\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_3f131c8]\" id=\"form-field-field_3f131c8\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_16f7876 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_16f7876\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGrade Level\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_16f7876]\" id=\"form-field-field_16f7876\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"Pre-K\">Pre-K<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Kindergarten\">Kindergarten<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"1st\">1st<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2nd\">2nd<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3rd\">3rd<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4th\">4th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5th\">5th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"6th\">6th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"7th\">7th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"8th\">8th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"9th\">9th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"10th \">10th <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"11th\">11th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"12th\">12th<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_6acc830 elementor-col-40\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_6acc830\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tName of School \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_6acc830]\" id=\"form-field-field_6acc830\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_fc2c65d elementor-col-40\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_fc2c65d\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSchool Address\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_fc2c65d]\" id=\"form-field-field_fc2c65d\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"School Address City, State, Zip Code\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_2ea725f elementor-col-30\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_2ea725f\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tStudent Name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_2ea725f]\" id=\"form-field-field_2ea725f\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"First &amp; Last Name\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_eb6e8fe elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_eb6e8fe\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tStudent Date of Birth\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_eb6e8fe]\" id=\"form-field-field_eb6e8fe\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_7e8d813 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_7e8d813\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGrade Level\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_7e8d813]\" id=\"form-field-field_7e8d813\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"Pre-K\">Pre-K<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Kindergarten\">Kindergarten<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"1st\">1st<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2nd\">2nd<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3rd\">3rd<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4th\">4th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5th\">5th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"6th\">6th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"7th\">7th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"8th\">8th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"9th\">9th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"10th \">10th <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"11th\">11th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"12th\">12th<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_945a085 elementor-col-40\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_945a085\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tName of School \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_945a085]\" id=\"form-field-field_945a085\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_a976e65 elementor-col-40\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a976e65\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSchool Address\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_a976e65]\" id=\"form-field-field_a976e65\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"School Address City, State, Zip Code\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_5e1a283 elementor-col-30\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_5e1a283\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tStudent Name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_5e1a283]\" id=\"form-field-field_5e1a283\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"First &amp; Last Name\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_738c81f elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_738c81f\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tStudent Date of Birth\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_738c81f]\" id=\"form-field-field_738c81f\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_858d5da elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_858d5da\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGrade Level\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_858d5da]\" id=\"form-field-field_858d5da\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"Pre-K\">Pre-K<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Kindergarten\">Kindergarten<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"1st\">1st<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2nd\">2nd<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3rd\">3rd<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4th\">4th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5th\">5th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"6th\">6th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"7th\">7th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"8th\">8th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"9th\">9th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"10th \">10th <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"11th\">11th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"12th\">12th<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_7405e6b elementor-col-40\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_7405e6b\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tName of School \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_7405e6b]\" id=\"form-field-field_7405e6b\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_a8d9288 elementor-col-40\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_a8d9288\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSchool Address\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_a8d9288]\" id=\"form-field-field_a8d9288\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"School Address City, State, Zip Code\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_930d5d1 elementor-col-40\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_930d5d1\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tStudent Name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_930d5d1]\" id=\"form-field-field_930d5d1\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"First &amp; Last Name\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_3747606 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_3747606\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tStudent Date of Birth\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_3747606]\" id=\"form-field-field_3747606\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_7af2f5b elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_7af2f5b\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGrade Level\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_7af2f5b]\" id=\"form-field-field_7af2f5b\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"Pre-K\">Pre-K<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Kindergarten\">Kindergarten<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"1st\">1st<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2nd\">2nd<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3rd\">3rd<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4th\">4th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5th\">5th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"6th\">6th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"7th\">7th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"8th\">8th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"9th\">9th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"10th \">10th <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"11th\">11th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"12th\">12th<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_b91417c elementor-col-40\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_b91417c\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tName of School \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_b91417c]\" id=\"form-field-field_b91417c\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_6edc294 elementor-col-40\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_6edc294\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSchool Address\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_6edc294]\" id=\"form-field-field_6edc294\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"School Address City, State, Zip Code\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_7f18568 elementor-col-30\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_7f18568\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tStudent Name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_7f18568]\" id=\"form-field-field_7f18568\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"First &amp; Last Name\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-field_b45f7e9 elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_b45f7e9\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tStudent Date of Birth\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[field_b45f7e9]\" id=\"form-field-field_b45f7e9\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_01ad97b elementor-col-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_01ad97b\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tGrade Level\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_01ad97b]\" id=\"form-field-field_01ad97b\" class=\"elementor-field-textual elementor-size-sm\">\n\t\t\t\t\t\t\t\t\t<option value=\"Pre-K\">Pre-K<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Kindergarten\">Kindergarten<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"1st\">1st<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"2nd\">2nd<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"3rd\">3rd<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"4th\">4th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"5th\">5th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"6th\">6th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"7th\">7th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"8th\">8th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"9th\">9th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"10th \">10th <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"11th\">11th<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"12th\">12th<\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_b3ea901 elementor-col-40\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_b3ea901\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tName of School \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_b3ea901]\" id=\"form-field-field_b3ea901\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_e31c1f3 elementor-col-40\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_e31c1f3\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSchool Address\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_e31c1f3]\" id=\"form-field-field_e31c1f3\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"School Address City, State, Zip Code\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_9795c2f elementor-col-40\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_9795c2f\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tParent or Guardian Name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_9795c2f]\" id=\"form-field-field_9795c2f\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"First &amp; Last Name\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-field_888ca1e elementor-col-20 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_888ca1e\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tRelationship\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"eicon-caret-down\"><\/i>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[field_888ca1e]\" id=\"form-field-field_888ca1e\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"Mother\">Mother<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Father\">Father<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Step-mother\">Step-mother<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Step-Father\">Step-Father<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Grandmother\">Grandmother<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Grandfather\">Grandfather<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Great-Grandmother\">Great-Grandmother<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Great-Grandfather\">Great-Grandfather<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Uncle\">Uncle<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Aunt\">Aunt<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Brother\">Brother<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Sister\">Sister<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"Cousin\">Cousin<\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t\t\t<option value=\"\"><\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_40c8cbd elementor-col-80 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_40c8cbd\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tParent Address\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_40c8cbd]\" id=\"form-field-field_40c8cbd\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Parent Address City, State, Zip Code\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_cee9cf0 elementor-col-25 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_cee9cf0\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tParent or Guardian Phone Number\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[field_cee9cf0]\" id=\"form-field-field_cee9cf0\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"(305) 555-5555\" required=\"required\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-field_892a5cb elementor-col-30 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_892a5cb\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tParent  or Guardian Email Address\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[field_892a5cb]\" id=\"form-field-field_892a5cb\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_45b532a elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_45b532a\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tName of School \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_45b532a]\" id=\"form-field-field_45b532a\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_7a62672 elementor-col-100 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_7a62672\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSchool Address\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_7a62672]\" id=\"form-field-field_7a62672\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"School Address City, State, Zip Code\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-field_0469b91 elementor-col-50 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_0469b91\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSchool Representative Name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[field_0469b91]\" id=\"form-field-field_0469b91\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"First &amp; Last Name\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-field_93bbb1f elementor-col-40 elementor-field-required elementor-mark-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_93bbb1f\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSchool Representative Phone Number\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[field_93bbb1f]\" id=\"form-field-field_93bbb1f\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"(305) 555-5555\" required=\"required\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-field_aedd821 elementor-col-40\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_aedd821\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tSchool Representative Email Address\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[field_aedd821]\" id=\"form-field-field_aedd821\" class=\"elementor-field elementor-size-sm  elementor-field-textual\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-checkbox elementor-field-group elementor-column elementor-field-group-field_20771a8 elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-field_20771a8\" class=\"elementor-field-label\">\n\t\t\t\t\t\t\t\tServices Requested\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<div class=\"elementor-field-subgroup  \"><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Services after school hours (by appointment ONLY)\" id=\"form-field-field_20771a8-0\" name=\"form_fields[field_20771a8][]\"> <label for=\"form-field-field_20771a8-0\">Services after school hours (by appointment ONLY)<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Immunization Services\" id=\"form-field-field_20771a8-1\" name=\"form_fields[field_20771a8][]\"> <label for=\"form-field-field_20771a8-1\">Immunization Services<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Access to the food pantry\" id=\"form-field-field_20771a8-2\" name=\"form_fields[field_20771a8][]\"> <label for=\"form-field-field_20771a8-2\">Access to the food pantry<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Assistance with temporary shelter\" id=\"form-field-field_20771a8-3\" name=\"form_fields[field_20771a8][]\"> <label for=\"form-field-field_20771a8-3\">Assistance with temporary shelter<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Family Restoration Program\" id=\"form-field-field_20771a8-4\" name=\"form_fields[field_20771a8][]\"> <label for=\"form-field-field_20771a8-4\">Family Restoration Program<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Utility payment such as light upon eligibility\" id=\"form-field-field_20771a8-5\" name=\"form_fields[field_20771a8][]\"> <label for=\"form-field-field_20771a8-5\">Utility payment such as light upon eligibility<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Teen pregnancy\" id=\"form-field-field_20771a8-6\" name=\"form_fields[field_20771a8][]\"> <label for=\"form-field-field_20771a8-6\">Teen pregnancy<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Mental Health Services available\" id=\"form-field-field_20771a8-7\" name=\"form_fields[field_20771a8][]\"> <label for=\"form-field-field_20771a8-7\">Mental Health Services available<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Mentoring Program for parents and the Youth\" id=\"form-field-field_20771a8-8\" name=\"form_fields[field_20771a8][]\"> <label for=\"form-field-field_20771a8-8\">Mentoring Program for parents and the Youth<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Immigration Services\" id=\"form-field-field_20771a8-9\" name=\"form_fields[field_20771a8][]\"> <label for=\"form-field-field_20771a8-9\">Immigration Services<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Drug Addiction Services available\" id=\"form-field-field_20771a8-10\" name=\"form_fields[field_20771a8][]\"> <label for=\"form-field-field_20771a8-10\">Drug Addiction Services available<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Job Placements\" id=\"form-field-field_20771a8-11\" name=\"form_fields[field_20771a8][]\"> <label for=\"form-field-field_20771a8-11\">Job Placements<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"1st Time Home Buyer program available and rentals\" id=\"form-field-field_20771a8-12\" name=\"form_fields[field_20771a8][]\"> <label for=\"form-field-field_20771a8-12\">1st Time Home Buyer program available and rentals<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Notary\" id=\"form-field-field_20771a8-13\" name=\"form_fields[field_20771a8][]\"> <label for=\"form-field-field_20771a8-13\">Notary<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Tax Preparation\" id=\"form-field-field_20771a8-14\" name=\"form_fields[field_20771a8][]\"> <label for=\"form-field-field_20771a8-14\">Tax Preparation<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Credit Restoration\" id=\"form-field-field_20771a8-15\" name=\"form_fields[field_20771a8][]\"> <label for=\"form-field-field_20771a8-15\">Credit Restoration<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Financial Advisor\" id=\"form-field-field_20771a8-16\" name=\"form_fields[field_20771a8][]\"> <label for=\"form-field-field_20771a8-16\">Financial Advisor<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Business Start Up\" id=\"form-field-field_20771a8-17\" name=\"form_fields[field_20771a8][]\"> <label for=\"form-field-field_20771a8-17\">Business Start Up<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Medical plan available for non-citizens with no social security number\" id=\"form-field-field_20771a8-18\" name=\"form_fields[field_20771a8][]\"> <label for=\"form-field-field_20771a8-18\">Medical plan available for non-citizens with no social security number<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Pediatrics\" id=\"form-field-field_20771a8-19\" name=\"form_fields[field_20771a8][]\"> <label for=\"form-field-field_20771a8-19\">Pediatrics<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"OBGYN\" id=\"form-field-field_20771a8-20\" name=\"form_fields[field_20771a8][]\"> <label for=\"form-field-field_20771a8-20\">OBGYN<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Internet, TV, &amp; Radio\" id=\"form-field-field_20771a8-21\" name=\"form_fields[field_20771a8][]\"> <label for=\"form-field-field_20771a8-21\">Internet, TV, & Radio<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Home Health Agency\" id=\"form-field-field_20771a8-22\" name=\"form_fields[field_20771a8][]\"> <label for=\"form-field-field_20771a8-22\">Home Health Agency<\/label><\/span><span class=\"elementor-field-option\"><input type=\"checkbox\" value=\"Occupational Therapy\" id=\"form-field-field_20771a8-23\" name=\"form_fields[field_20771a8][]\"> <label for=\"form-field-field_20771a8-23\">Occupational Therapy<\/label><\/span><\/div>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Send<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>If a student is in danger right now, do not use this form This form is read during office hours only. It is not monitored around the clock, and submitting it does not alert anyone immediately. Call 911 for immediate danger &nbsp;&middot;&nbsp; 988 for the Suicide &amp; Crisis Lifeline, 24 hours &nbsp;&middot;&nbsp; 211 for 24-hour [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":15,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","ocean_front_end_style_editor":"no","ocean_post_layout":"","ocean_both_sidebars_style":"","ocean_both_sidebars_content_width":0,"ocean_both_sidebars_sidebars_width":0,"ocean_sidebar":"","ocean_second_sidebar":"","ocean_disable_margins":"enable","ocean_add_body_class":"","ocean_shortcode_before_top_bar":"","ocean_shortcode_after_top_bar":"","ocean_shortcode_before_header":"","ocean_shortcode_after_header":"","ocean_has_shortcode":"","ocean_shortcode_after_title":"","ocean_shortcode_before_footer_widgets":"","ocean_shortcode_after_footer_widgets":"","ocean_shortcode_before_footer_bottom":"","ocean_shortcode_after_footer_bottom":"","ocean_display_top_bar":"default","ocean_display_header":"default","ocean_header_style":"","ocean_center_header_left_menu":"","ocean_custom_header_template":"","ocean_custom_logo":0,"ocean_custom_retina_logo":0,"ocean_custom_logo_max_width":0,"ocean_custom_logo_tablet_max_width":0,"ocean_custom_logo_mobile_max_width":0,"ocean_custom_logo_max_height":0,"ocean_custom_logo_tablet_max_height":0,"ocean_custom_logo_mobile_max_height":0,"ocean_header_custom_menu":"","ocean_menu_typo_font_family":"","ocean_menu_typo_font_subset":"","ocean_menu_typo_font_size":0,"ocean_menu_typo_font_size_tablet":0,"ocean_menu_typo_font_size_mobile":0,"ocean_menu_typo_font_size_unit":"px","ocean_menu_typo_font_weight":"","ocean_menu_typo_font_weight_tablet":"","ocean_menu_typo_font_weight_mobile":"","ocean_menu_typo_transform":"","ocean_menu_typo_transform_tablet":"","ocean_menu_typo_transform_mobile":"","ocean_menu_typo_line_height":0,"ocean_menu_typo_line_height_tablet":0,"ocean_menu_typo_line_height_mobile":0,"ocean_menu_typo_line_height_unit":"","ocean_menu_typo_spacing":0,"ocean_menu_typo_spacing_tablet":0,"ocean_menu_typo_spacing_mobile":0,"ocean_menu_typo_spacing_unit":"","ocean_menu_link_color":"","ocean_menu_link_color_hover":"","ocean_menu_link_color_active":"","ocean_menu_link_background":"","ocean_menu_link_hover_background":"","ocean_menu_link_active_background":"","ocean_menu_social_links_bg":"","ocean_menu_social_hover_links_bg":"","ocean_menu_social_links_color":"","ocean_menu_social_hover_links_color":"","ocean_disable_title":"default","ocean_disable_heading":"default","ocean_post_title":"","ocean_post_subheading":"","ocean_post_title_style":"","ocean_post_title_background_color":"","ocean_post_title_background":0,"ocean_post_title_bg_image_position":"","ocean_post_title_bg_image_attachment":"","ocean_post_title_bg_image_repeat":"","ocean_post_title_bg_image_size":"","ocean_post_title_height":0,"ocean_post_title_bg_overlay":0.5,"ocean_post_title_bg_overlay_color":"","ocean_disable_breadcrumbs":"default","ocean_breadcrumbs_color":"","ocean_breadcrumbs_separator_color":"","ocean_breadcrumbs_links_color":"","ocean_breadcrumbs_links_hover_color":"","ocean_display_footer_widgets":"default","ocean_display_footer_bottom":"default","ocean_custom_footer_template":"","footnotes":""},"class_list":["post-584","page","type-page","status-publish","hentry","entry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>School Resource Referral Form - A New Life in Christ Ministries and Resources Inc<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/anewlifeinchristministriesandresources.com\/es\/school-resource-referral-form\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"School Resource Referral Form - A New Life in Christ Ministries and Resources Inc\" \/>\n<meta property=\"og:description\" content=\"If a student is in danger right now, do not use this form This form is read during office hours only. It is not monitored around the clock, and submitting it does not alert anyone immediately. Call 911 for immediate danger &nbsp;&middot;&nbsp; 988 for the Suicide &amp; Crisis Lifeline, 24 hours &nbsp;&middot;&nbsp; 211 for 24-hour [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/anewlifeinchristministriesandresources.com\/es\/school-resource-referral-form\/\" \/>\n<meta property=\"og:site_name\" content=\"A New Life in Christ Ministries and Resources Inc\" \/>\n<meta property=\"article:modified_time\" content=\"2026-08-18T11:01:11+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data1\" content=\"5 minutos\" \/>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"School Resource Referral Form - A New Life in Christ Ministries and Resources Inc","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/anewlifeinchristministriesandresources.com\/es\/school-resource-referral-form\/","og_locale":"es_ES","og_type":"article","og_title":"School Resource Referral Form - A New Life in Christ Ministries and Resources Inc","og_description":"If a student is in danger right now, do not use this form This form is read during office hours only. 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