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Student Counseling Request Form
Aloha Aiea Elementary Students,
If you would like to speak with the counselor please complete the form below and be sure to click submit at the end.
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Grade Level
*
Choose
Pre-Kindergarten
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
How are you feeling right now?
*
Sad
Angry
Disgusted
Fearful
Joyful
Tell us what's going on.
*
Your answer
How urgent do you need to see the counselor?
*
It's URGENT and I need to see you as soon as possble.
It's somewhat IMPORTANT I can see you in a few days.
It's NOT urgent or important I can see you within the week
Submit
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