Request to see the School Counselor

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Use this form to notify me you would like to meet with me to obtain assistance or information. I will email you to let you know I received your request by the end of the next school day after you submit this request. I will come to speak with you before the end of the following 2 school days after your request (as long as I am not absent on that day).

Email *

valid email -reenter email address

Provide your first and last name, and home room number *

Identify your position below *

I am a student

I am a staff member

I am a parent

I am an administrator

I need assistance with the following: *

I have problem that concerns another or other students

I have a problem related to me or my student's academic progress or school classes

I am experiencing uncomfortable emotions

Other

Briefly describe your concern *

A copy of your responses will be emailed to the address you provided.

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