Steinert Weekly Check-In

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Welcome back students! The "E" in Steinert P.R.I.D.E stands for "empathetic," and our staff knows how important that is right now! We care about you, and our Student Support Team is here to help! Everyone is coping with the effects of Covid-19, remote learning, and the many other stressors of daily life differently, and we would like to use this form to help you notify our team of an urgent need to talk.

NOTE: The information on this form is confidential. Only the individual/s you choose to speak to will schedule a time to follow-up with you. If you need to speak to an administrator, please check your guidance counselor's name. Any questions can be directed to guidance.

First Name *

Last Name *

Student Cell Phone Number (note: the staff member's phone number may be blocked) *

I would like to schedule some time to talk about my feelings with: *

Guidance: Ms. Wilmot

Guidance: Ms. Turnbull

Guidance: Ms. Koutsouradis

Guidance: Ms. Burzin

Guidance: Ms. Andersen

Guidance: Ms. Magley

SAC: Mr. Smith

Case Manager: Ms. Noble

Case Manager: Ms. Prowisor

Case Manager: Ms. Ganz

Nurse: Ms. Timmons

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