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Eickenroht Counselor Request
Complete the questions below if you need to communicate with your counselor. Please allow 24 hours response time. Responses will be sent to Ms. Mitchell, the counselor at Eickenroht Elementary. (
mmitchel@springisd.org
)
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* Indicates required question
Email
*
Your email
What is your name?
*
Your answer
What is your ID number?(same as your lunch number)
*
Your answer
What grade are you in?
*
Your answer
Where are you right now? (ex. home, work, with friends, etc.)
*
Your answer
What is an email the counselor can reach back out to you at?
*
Your answer
What is your phone number?
*
Your answer
Are you physically safe right now?
*
Yes
No
Other:
Who is at home with you? (ex. mom, dad, grandmother, friend, etc.)
*
Your answer
What would you like to talk to your counselor about?
*
Grades
Classes
College
Personal
Other:
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