Incoming 7th Grade Peer Counseling
Please complete this peer counseling application, to be considered for the Peer Counseling Elective. If you have any questions you can email the Peer Counseling Adviser Reggie McLean at ReggieMcLean@cusd.com 
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Student ID#
First Name *
Last Name *
Current School
Clear selection
Who is your current 6th Grade Teacher? *
Are you planning to take 2 electives next school year with Lunchtime PE or just 1 elective? Luntime PE is M-F everyday with the last 10mins to eat lunch.  Please select whether or not you'd like Luntime PE. *
If you would like to take 2 Year long electives you must take Zero Period PE which starts at 7:15 am M-Th and you need your own transportation. Please select whether or not you'd like Zero Period PE. *
What is your current letter grade in English? *
What is your current letter grade in Math? *
What is your current letter grade in Science? *
Please list all activities you have been involved in at school and in the community. (Examples: Athletics, Choir, Spelling Bee, Science Fair, Boy Scouts/Girl Scouts, etc.) *
Do you know how to be confidential "not share information with others, expect your teacher?" *
How many absences have you had so far this year? *
Have you been suspended this school year *
Please describe why you’d like to be in Peer Counseling (This Response should be several sentences) *
We will be reaching out to your 6th grade teacher for a recommendation. Do you feel your teacher would recommend you for the elective(s) in which you applied. *
If you don't get in to one of the application electives which elective would you like to be place in instead? *
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