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IFA Rock Run Elementary Counselor Request Form
All requests will be answered within 1-2 business days. If you need immediate assistance please call the school office at ( If this is a mental health emergency please call 911 immediately.
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Name of Person Completing this form.
*
Your answer
I am a:
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Student
Parent/Guardian
Other
I would like someone to contact me about:
*
Food Assistance
E-learning assistance
Counseling
Other
The best way to contact me is: Add contact information below
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Your answer
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This form was created inside of Belmond-Klemme Community School District.
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