Appointment Request to see Counselor or Social Worker
If this form is filled out after 3:45pm, your counselor will not be notified until 8:00am the following school day. If this form is filled out over the weekend or during a holiday/school break, your counselor will not see it. If it is an emergency, please contact the police department.
What is your name?
Please type your FIRST and LAST name.
Select your Grade.
What is your concern?
Conflict with another student
Social media issue
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