School Counselor Request Slip
This is a school counselor request form that can be filled out either by parents/guardians, staff or students. After I receive a request, I will contact parents/guardians either via email or phone to obtain consent to communicate with the student (only required for remote communication via google meet). Please refer to the Parent/Guardian Forms tab for the Virtual Communication and Meet Consent form.
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Email *
Who is making the request? *
Student's first and last name : *
Student's grade level : *
Student's teacher : *
What type of concern/problem : *
Required
When is it best to contact you? *
Morning
Afternoon
Monday
Tuesday
Wednesday
Thursday
Friday
A copy of your responses will be emailed to the address you provided.
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