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Counselor Meeting Request
If you need to see Mrs. Nick, please fill out and submit this form. She will meet with you as soon as possible
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Last Name
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Your answer
First Name
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Your answer
Grade
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6th
7th
8th
Reason for conference, select all that apply
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URGENT!! Something private right away!!
Personal
Family
Friends
How to get along better with others
Self Esteem
Anxiety
Really Sad
Angry Feelings
Feeling Overwhelmed
Divorce Issues
Illness or loss of a family member or friend
My Grades and School Work
Study Skills
Organization
Time Management
Good News to Tell You
Something else
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Please provide a brief description if you'd like
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I need to see you
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Right away!
Sometime today
When you have time
What teacher do you have for Advisory/Homeroom?
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Your answer
6th & 7th grade: What teacher do you have for Lopes Excel?
Your answer
6th graders - What period do you have Tech Apps?
2nd
3rd
5th
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