Grouptrail

Fill out our contact form to get in touch or feel free to call or text us at 503-389-3398 or email us at EastCountyBridges@mesd.k12.or.us. We’re here to help whenever you’re ready!

We can help you find the education program that suits your needs. Share as much or as little information as you’d like below and we’ll be in touch. All information will be kept confidential.

Student Name (last, first) *

Who is submitting this form? *

What is the best way to get in contact with the student? *

What is the best time of day to contact the student?

Please enter the student's phone number/WhatsApp/Text Now

Please enter the student's email address

What is the main reason for the referral? *

What is the physical address/of the student being referred? If there is one.

Contact information of referring party (if not the student)

Is there any additional information you'd like to share?

What is the student's preferred language?

If the preferred language of the student being referred is not listed above, please let us know what it is.

East County Bridges Contact Form/Forma de Contacto

Fill out our contact form to get in touch or feel free to call or text us at 503-389-3398 or email us at EastCountyBridges@mesd.k12.or.us. We’re here to help whenever you’re ready!

We can help you find the education program that suits your needs. Share as much or as little information as you’d like below and we’ll be in touch. All information will be kept confidential.