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Mrs. Weber-Perez's Counselor Request Form
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Email
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Your email
Is this request is from a Parent or Student?
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Parent
Student
Student First Name
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Your answer
Student Last Name
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ID number
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Please indicate why you are requesting to speak with your Counselor by choosing from one of the options below.
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Academic Concerns
Social Concerns (i.e. problems with peers)
Emotional Difficulties (i.e. stress, anxiety, depression)
Report Bullying
College and Career
Other (Please indicate below what your concern is regarding.)
Is there any additional information regarding your concern that you would like to share?
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If you are a parent filling out this form, please provide your name and best contact information below.
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