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Parent/Guardian Counseling Request Form
Please fill out this form if you would like your student's school counselor to schedule a time to meet with your student for any of the reasons below.
Feel free to reach out directly to your student's school counselor by calling the school counseling office at 402-427-2888 or by email anytime you need to.
Mrs. Jill Gross
-
Student Last Names A - G
Ms. Chris Ross
- Student Last Names H - N
Ms. Audrey Arsenian
- Student Last Name O - Z
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* Indicates required question
Your Email address
*
Your answer
Your First & Last Name
*
Your answer
Student First Name
*
Your answer
Student Last Name
*
Your answer
Student Grade Level:
*
Choose
9th
10th
11th
12th
Student's Counselor:
*
Ms. Gross (Last Names A - G)
Ms. Ross (Last Names H - N)
Ms. Arsenian (Last Names O - Z)
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Reason for referral:
*
Choose
Academics
College / Career
Social / Emotional
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