South Elementary School: Parent Permission for School Counseling Services

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Hello South Families,

At South Elementary the School Counseling Department provides different services for the benefit of your child. To better empower your child's success and meet their social/emotional, academic, and career needs at school. Throughout the year students may meet with the school counselor, Ms. Younce for individual and group counseling sessions. I will be delivering these services, and will try my best to meet with your child at a time that does not impact their core instruction. If you agree in having your child participate in these services at anytime throughout the year, please complete and submit this form. If you have question or would like more information, feel free to contact me at (704)658-2655, or email at ryounce@mgsd.k12.nc.us. Please fill out one form per child. Thank you!

Warm regards,
Rachel Younce, School Counselor

Please select one answer. *

Yes, my child has permission to participate in school counseling services with Ms. Younce.

No, my child does not have permission to participate in school counseling services with Ms. Younce.

Other:

Student's First Name *

Student's Last Name *

Teacher's Name *

Grade Level *

Pre K

1st

2nd

3rd

(Optional): How best can I support your child? What would you like me to work with your child on? What would you like me to know about your child?

Please select the best way(s) to contact you:

Phone

Please list contact information:

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