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Counseling Request
If there is a concern you would like to share with the School Counselor please submit the form below. Thank you for being an advocate for your child!
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Student's Last Name
*
Your answer
Student's First Name
*
Your answer
Grade Level
*
Pre-Kindergarten
Kindergarten
1st
2nd
3rd
4th
5th
Your Name
*
Your answer
Your Contact Information
*
Your answer
I am concerned because my child is...
*
(Please select all that apply)
struggling academically
often angry
bullying others
being bullied
depressed
dealing with a family issue
suffering from grief/loss
having trouble getting along with peers
a perfectionist
lacking self-confidence or self-esteem
worried or anxious
Other:
Required
Additional information
(Please add any other information you believe may be helpful)
Your answer
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