Virtual Green Sheet counselor request form
Please fill this form out if you would like to be contacted by a counselor for a check-in.  If you believe you have a red card or emergency situation, please fill out the virtual red card if you are in school.  IF YOU ARE AT HOME, call 911 or report to www.safe2tell.org.  DO NOT leave red card information on this form, as it is only monitored periodically and not 24/7.  Once you fill out this form, a counselor will contact you as soon as possible between Tuesday and Friday.  
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Student First and Last name *
Grade *
Please share a little about what is going on and why you wish to be contacted by a counselor.   *
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