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RMS Counselor Visit Request
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Grade:
*
Grade 6
Grade 7
Grade 8
What would you like to discuss with your counselor?
*
A concern about my grades or homework
Conflict with a peer, bullying, or cyberbulling
A concern for someone I know
A personal problem that I need help with
My class schedule
Other:
Required
Is this urgent?
*
Yes
No
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