Request to see the School Counselor
Please fill out the form below  to arrange for you or your child to meet with he School Counselor. Ms. Schuffenhauer will receive and review this form, then set up a meeting with the student. This form follows standard guidelines for confidentiality and the School Counselor will reach out to you after meeting with your child, if requested.
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Email *
Student Name (first and last) *
Teacher *
How is your child feeling?
How is your child feeling? *
The problem is *
This is
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Other information that may be important for the counselor to know:
Available Times for parent contact if requested (please list 3)
I would like to be updated after the counselor speaks with my child.
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A copy of your responses will be emailed to the address you provided.
Submit
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