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Counseling Request Form
This form is to request a G
oogle Meet with your counselor or an in person meeting in school.
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* Indicates required question
Email
*
Your email
Student's Name and Grade
*
Your answer
I am a....
*
CSL Student
CSL Online Student
CSL Parent
Reason for Request
*
Personal Issue or Mental Health Check-in
College & Career Counseling
Grades/Academic Concerns
Enrolling in Credit Enrichment/Recovery
Transcript Review
Graduation Planning (Grades 11 or 12)
Other:
Required
Date you are requesting to meet
*
MM
/
DD
/
YYYY
Best time for you to meet.
*
Your answer
A copy of your responses will be emailed to the address you provided.
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