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Would you like to meet with a counselor?
Complete this form to arrange a meeting with Mrs. VanLant or Mrs. Dreiling. A counselor will get back to you as soon as possible to arrange your meeting and send you a Zoom link for a virtual meeting.
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Student Last Name
*
Your answer
Student First Name
*
Your answer
Grade level
*
Choose
6
7
8
How would you like to talk to a counselor?
*
Phone (I will enter my or my parents' phone number in the next section)
Schoology Message - we will send a private message to you
Phone Number (if you prefer a phone call)
Your answer
Are you open to meet on a Zoom conference?
*
Yes
No
What would you like to talk about? Check all that apply.
*
Me
School
Teachers
Classes
Friends
Home Stuff
Other:
Required
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