Bozman Counselor Contact Request

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In order to stay in touch and make sure to help with any needs or concerns, this form was created for parents, students, or staff. Please use this form to contact Mrs. Johns (5th grade counselor) or Mrs. Boone (6th grade counselor). You may also use their email, ljohns@conroeisd.net or aboone@conroeisd.net. We are here to help our Bozman Broncos any way we can! Please use this form is you would like one of us to contact you or your child.

~Mrs. Johns & Mrs. Boone, Bozman Intermediate School Counselors

I am contacting *

Mrs. Johns - 5th Grade Counselor

Mrs. Boone - 6th Grade Counselor

Name of person requesting *

Please indicate if you are seeking student or parent counseling *

Student

Parent

Please indicate your preferred method of communication *

Phone

Best phone number or email to contact you *

Student Name-(1 Form per child only) *

Grade of student *

5th

6th

N/A

Homeroom Teacher

Please share what you would like to discuss *

School Problem

Home problem

Problem with a person

Family problem

Difficulties making decisions

Afraid of something

My feelings (angry, sad, irritated, stressed, worried....etc)

Other:

Please give a brief explanation *

How important is yor need to speak with someone?

VERY IMPORTANT! ASAP! Please speak with me as soon as possible.

IMPORTANT! But it can wait. Please speak with me within one or two days.

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Please note if this is an urgent safety need and requires immediate attention, you can call 9-1-1. You can also find crisis community resources by clicking the link provided below. https://www.conroeisd.net/department/guidance-counseling/crisis-intervention/

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