Student Groups - Stress, Anxiety, Loss, Self Esteem
During the middle of the school year, I may run one or two 6 week counseling groups that focus on helping students overcome stress, anxiety, loss and develop self esteem and confidence. 

This group has been very successful in the past and gives students the coping skills needed to improve in these areas!

I’m accepting referrals and will hold counseling groups as needed, based on how many students may request it.

*PARENTS - please fill out this form for your student.
*TEACHERS - please refer parents to fill out this form for their student.

Thank you. :)
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Student Name: *
Please list the student's last name and first initial.
Student Number: *
Student Grade: *
Teacher: *
Referring Person and Relationship to Student:
 *
*If possible, this would be best filled out by the legal guardian.
Why would it be good for your student to be part of the Life Skills and Resilience Group? *
Please include any information you think could be helpful for us to know about your student. Thank you!
If you are the student's legal guardian and are referring your student: Do you give permission for your student to participate in the UTVA Elementary Counseling Groups for the 2023-2024 school year? *
*Permission required by the legal guardian. Thank you!
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