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Student-Counselor Appointment Form-Ms. Palmieri-Grades 9 & 11
DO NOT use this form if you are in crisis. Please ask to see a counselor immediately. If it is after school hours, please call 911 if you are in crisis.
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Email
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Your email
Last Name
*
Your answer
First Name
*
Your answer
Grade
*
09
10
11
12
Advisory
*
Your answer
Counselor Visit Reason
*
Academic
Career& College Readiness
Personal/Social
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