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BOSTON HIGH SCHOOL
INTERVENTION AND REFERRAL SERVICESINITIAL REQUEST FOR ASSISTANCE
& PRIOR INTERVENTIONS CHECKLIST
Staff Requesting Assistance:Date:Student Name:Grade:Course:Counselor:Please describe
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How to fill out initial request for assistance

How to fill out initial request for assistance
01
Begin by clearly stating the reason for needing assistance.
02
Provide any relevant background information or context that may help the recipient understand the situation.
03
Clearly outline what specific type of assistance you are seeking.
04
Include any relevant deadline or urgency for the requested assistance.
05
Provide all necessary contact information for easy follow-up and communication.
Who needs initial request for assistance?
01
Individuals facing challenges or issues that they are unable to resolve on their own.
02
People in need of support or guidance from professionals or organizations.
03
Anyone seeking help or resources to address a specific problem or situation.
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What is initial request for assistance?
Initial request for assistance is the first formal communication seeking help or support.
Who is required to file initial request for assistance?
The individual or organization in need of assistance is required to file the initial request for assistance.
How to fill out initial request for assistance?
The initial request for assistance can be filled out by providing all relevant information and details about the situation requiring assistance.
What is the purpose of initial request for assistance?
The purpose of the initial request for assistance is to formally request help or support in a structured and organized manner.
What information must be reported on initial request for assistance?
The initial request for assistance must include details about the situation, reasons for seeking assistance, any relevant documents or evidence, and contact information.
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