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Travis Elementary Counseling Form 20-21
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* Indicates required question
I am a... Yo soy...
*
Parent - Padre
Teacher - Maestro/a
Reading Interventionist
Student's Grade Level - Grado del estudiante
*
PK
Kindergarden
1st
2nd
3rd
4th
5th
Required
*
Your answer
Your answer
Untitled Title
How can I help? - ¿Cómo puedo ayudar?
*
Family - Familia
School - Escuela
Bullying Concern - Acoso
Stress/Anxiety/Worry - Estrés, ansiedad o preocupación
Grades - Calificaciónes
Friendships - Amistades
Other - Otra cosa
Please explain the issue / Por favor explique el problema
*
Your answer
Phone Number / Numero de telefono
*
Your answer
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