Counselor Communication Request
Please complete this form if you would like for a counselor to follow up with you.
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Student Last Name *
Student First Name *
Counselor's Name *
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I want to talk about *
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Please provide more information to your above selection. *
Is this an emergency? Example: I am in danger of being hurt by someone. If so, while school is not in session, please call 911 or seek the nearest trusted adult. *
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