Parent Request for Counselor Check In
Welcome Parents.  Use this form to let me know to check in with your child.  Please answer all the required questions below and add any other information or concerns you think I should know .  Your answers will not be shared with anyone.  
                 
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   Please be aware that Ms. Wendy checks these responses during her normal work hours
                                    from Mondays-Fridays from 7:00am to 3:30pm.
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Please send me an email (wendyarmenta@iusd.org) if you have any other thoughts to share.  Stay healthy.  Stay Safe.  

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Email *
What is the student's first and last name? *
Who is completing this form? *
What is the best way to contact you?  (please type your contact info to make sure I can reach you if needed.) *
What are your concerns? *
What are the student's Interests? *
What are the student's strengths? *
What motivates your student? *
Please check all personality/behavior characteristics that describe the student: *
Required
What social/emotional concerns do you have for the student? *
What academic concerns do you have for the student? *
What is your goal (hope) for how school-based counseling will impact the student? *
How is everything at home?
Not good at all.
Home is great!!!
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Is there anything else you would like to share with me or tell me about?
THANK YOU FOR FILLING THIS OUT!!
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