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JMS School Counselor Contact Form
If you're a student (or the parent/guardian of a student) and would like to talk with me, please use this form to let me know what you need help with. I'll get back to you as soon as I can!
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* Indicates required question
Name
*
If you are a parent or guardian, please list both your name and your student's name.
Your answer
Email
*
Your answer
Phone
*
Your answer
Preferred Communication Method (if parent/guardian)
Email
Phone
Clear selection
Grade
*
6th Grade
7th Grade
8th Grade
Other
I would like to talk about:
*
Myself (or my student)
Friends
Family
School Work/Grades
Class Schedule
Other:
Feel free to share as little or as much as you would like for me to know before we talk.
*
Your answer
How soon should we talk?
*
Right away! This is urgent and I need to talk to someone asap!
This is important, but you can contact me in the next several days.
This is not urgent. Please get back to me whenever you can, within the next week.
I just wanted to say hello. Please reach out when you can.
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