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Parent Request - Counselor Check-in
Parents - If you would like to to speak with a counselor, or schedule a time for your child to speak with their counselor, please fill out the form below
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* Indicates required question
Student Name (First name, last initial)
*
Your answer
Teacher Name/Grade Level
*
Your answer
Parent Name
*
Your answer
Best contact number to reach you
*
Your answer
Choose one:
*
I would like to speak to the school counselor
I would like the school counselor to check-in with my child
Concern:
Academic
Social/Emotional
Behavior
Other:
Is there anything else you would like us to know?
Your answer
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