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2023-2024 Counselor Support Request
Please complete this form when requesting support for a student.
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Email
*
Your email
Student Last Name
*
Your answer
Student First Name
*
Your answer
Student ID#
*
Your answer
Student Grade
*
6
7
8
Reason(s) for requesting assistance
*
Attendance
Grades
Mental Health (Emotional Support)
Behavior
Bullied
Other
Required
Brief description of request
*
Your answer
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