Student Services' Request Form

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The KMS Counselors are here to help! Please complete the following form and submit. Please note that your counselor will contact you as soon as he/she can.

Name *

First and Last

Who do you need to see/talk to? *

Mrs. Logan (6th grade Counselor)

Mr. Massey (7th grade Counselor)

Mrs. Wilson (8th grade Counselor)

Ms. Johnson (School social worker)

Reason for appointment *

Personal

Conflicts

Academics

Schedule

Career Planning

Other:

How quickly would you like to talk to the counselor? *

Emergency (by the end of the day)

Critical (by tomorrow)

Moderate (within a few days)

Low (sometime this week)

Submit

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This form was created inside of Kannapolis City Schools.