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Request to Meet with a Counselor
Please complete this form if you would like to talk with a Counselor. We will reach out to you as soon as we can
Complete este formulario si desea hablar con un consejero. ¡Nos pondremos en contacto contigo tan pronto como podamos
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* Indicates required question
Email
*
Your email
Student Name (First & Last)/Nombre del estudiante (primer nombre y apellido)
*
Your answer
I am..../ Soy....
*
A parent
A guardian
the student
a family member
Other:
How would you like to meet?/¿Cómo te gustaría conocer?
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In person
on Google meet or zoom
Phone call
I need to meet..../necesito conocer....
*
Whenever we can, no rush
1
2
3
4
5
As soon as possible!
I want to talk about.../Quiero hablar acerca de...
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School/academics
Mental Health
Family dynamics
Friendships/Relationship/Social things
College planning
Career planning
Transcripts
Work Permits
Help with resources: food, housing, transportation, etc.
Other:
Required
The best way to contact me is.../La mejor forma de contactarme es...
*
Phone
Email
Text
Please leave your email or phone number here./Por favor, deje su correo electrónico o número de teléfono aquí
*
Your answer
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