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Cameron High School Counselor Request Form
Please fill out form if you would like to request a meeting with your high school counselor.
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* Indicates required question
SAFETY CONCERN -
If this is an emergency (if you are worried about your safety or the safety of others), call 911, text 988 or call National Suicide Prevention Hotline (1-800-273-8255).
Your Name
*
Your answer
Student's Name (if you are not a student)
Your answer
Are you a
*
CHS Student
Parent/Guardian
Staff Member
Other:
If parent - phone number we can reach you at?
Your answer
Grade Level of the student
*
Freshman
Sophomore
Junior
Senior
Find your counselor
*
Mrs. Henry (last names A-K)
Ms. Messick (last name L-Z)
Mrs. Webb (post secondary advisor)
Reason for request to see counselor
*
Your answer
Urgency (how serious is your concern?)
Not Very Serious (Schedule changes, grades, scholarships, etc)
Kind of Serious (friend issues, problems, want someone to talk to)
Serious (bullying, threats, very upset)
Very Serious (someone is going to be hurt physically)
Is there anything else we need to know?
Your answer
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