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Middle School Student Request
Dear School Counselor,
* Indicates required question
Email
*
Record my email address with my response
Last Name:
*
Your answer
First Name:
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Your answer
Grade
*
6
7
8
What do you need to see the counselor about?
*
Your answer
Is this an emergency? (An emergency is when it is not safe for you or someone else to home today.) If Yes, GO TO THE COUNSELOR WINDOW IMMEDIATELY.
*
No
Yes - THIS IS AN EMERGENCY!! It is not safe for someone else or myself to go home today.
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