Violet Elementary: Small Group Counseling (2019/2020)

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Small groups will be held during your student's recess/lunch period. Groups will meet once a week for 6-8 weeks, with sessions lasting approximately 30 to 45 minutes. An invitation will be given to your student to take home a week before the group starts.

Please note that your responses to this survey will be kept confidential in the counseling office.

Email *

Email address: *

Parent Name: *

Student Name: *

Grade: *

The following small groups will be offered this year. Please choose up to two groups that would benefit your child.

Little Need

Neutral

Extreme Need

Fantastic Friends (Friendship)

Tornado Tamers (Anger Management)

Worry Warriors (Coping Skills/Anxiety)

Changing Families (Divorce/Foster Care/Military)

Talkin' Tigers (Social Skills)

Vocal Violets (Girls Group/Relational Aggression)

Emotional Investigators (Self-Regulation/Impulse Control)

Clear selection

Please include any additional information you would like me to know about your child.

I give my child permission to take part in small group counseling at Violet Elementary. I understand that all information shared is confidential and will only be seen/used by Mrs. Lowe (School Counselor) and Caitlin Blanc (Social Work Intern). *

Yes

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Pickerington Local School District. Report Abuse

Forms