Request for School Counselor at GLE
Please fill out this form if you wish to speak with the school counselor.
If this is an emergency, please seek an adult immediately or call 911.
If this form is being completed after school hours, your response will not be seen until school is in session.
The school counselor will try to meet with you within three school days. If you have not seen the school counselor after three days, then please speak with your teacher. 
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Email *
This form is being completed by... *
Required
Student Name (First and Last) *
Student Grade *
What is the concern?
Social/Emotional (Check all that apply):
What is the concern?
Academic (Check all that apply):
This... *
Information I want to share with you now...
I understand a counselor may not be immediately available. *
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