20 - 21 Student Request for School Counseling or QuaranTEAM

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Dear Hemmerling Students,

I'm so glad you've found this link! I am so grateful to be able to offer an online way for you to get in touch with me during distance learning and even when we're back at school in person. This will be the new way for you to get in touch with me :).

Don't forget to join me for Lunch with Miss J Wednesdays from 12:15pm-12:45pm, join a QuaranTEAM (virtual small group), add yourself to our school-wide Google Classroom (code a3yarlm) and check out season 2 of our new, online video mini series, Mustang Minute!

I can't wait to see or hear from you all.

Miss J
Hemmerling School Counselor
Tier II/III PBIS Coordinator

Email *

Name (First and Last): *

Student Grade and Teacher *

What do you need help with? (check all that apply)

I feel sad (If you feel like hurting yourself, call 1-800-273-TALK (8255) or tell a trusted adult immediately

I feel worried or nervous a lot

Staying on task

My anger

Feeling lonely

Believing in myself

Problems at home

The loss of a loved one

I need help making or keeping friends

I need help keeping my things organized for school

I just need someone to talk to

All this distance learning stuff is overwhelming to me

I need help dealing with staying home/the pandemic

I'm doing pretty good, I just want to join a QuaranTEAM!

Other:

How long have you had this problem? (Ex. Since the summer, since school started, since I was 5, etc.) *

What has helped you in the past with the problem? *

Have you seen the school counselor or another counselor before? If so, who was it, when, and what did they help you with? *

Are you doing the assignments your teacher posts? *

Yes

Mostly

Some

Not at all

Is there anything else you want me to know? *

How would you like to meet with me? *

One-on-one with video

One-on-one over the phone

In a group with others that have the same problem I am facing

Informally (just for fun) through lunch with Miss J on Wednesdays

In a QuaranTEAM (general hangout group where we also discuss important coping skills)

Other:

Required

How often do you think you need to meet with me? *

One or two times

Once/week until I feel better

Once every other week

Just whenever I need you

I really need to talk to you ASAP! (Is it an emergency? Meaning, is it a safety concern for you or others?)

I would really like to talk to you as soon as I can but it's not an emergency

Required

Have you told your teacher or another adult that you want to see the counselor? (I will need to ask your parents for permission to see you!) *

Yes, my teacher.

Yes, another adult.

No.

Required

Send me a copy of my responses.

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