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Guidance- Student Orange Sheet
Please answer the following questions. If this issue is an emergency please go to the office to get assistance.
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* Indicates required question
Name- First and Last
*
Your answer
Homeroom
*
Your answer
Today's Date
*
MM
/
DD
/
YYYY
I need help with:
*
Friends
Family
Bullying
Personal
Other:
Required
Guidance Counsellor
*
Mr Koop
Mrs.Kasdorf
Either is fine
When do you need to meet?
*
Today if a counselor is available
In the next few days
In the next week
If you would like to give more information please let us know here.
*
Your answer
Does your homeroom teacher know about your issue?
*
Your answer
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