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CRE School Counselor Parent/Guardian Request Form
For: Parents and Guardians
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* Indicates required question
Your first and last name:
*
Your answer
Your scholar's first and last name:
*
Your answer
Scholar Teacher Name:
*
Your answer
Scholar Grade Level:
*
K
1
2
3
4
5
Preferred contact method and information: Please include if you would like to be contacted by phone or email as well as your current phone number or email address.
*
Your answer
I would like:
*
To schedule a time to talk with the school counselor regarding my child.
To schedule a time to talk with the school counselor regarding community resources.
The school counselor to arrange a time to talk with my child.
To report a bullying concern
Other:
If you have any other relevant information that you would like to include with this request, you may enter it here:
Your answer
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