Counselor Check-In

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Counselor Check-In

Please check in here by completing all the (*) required information. Students, if our door is open we will be able to see you immediately. Otherwise, please check in and we will call you down when we are able.

Which counselor do you need to see? *

Mrs. Ogden (A-D)

Mrs. McIntyre (E-K)

Mrs. Brown (L-R)

Mr. Heckman (S-Z)

Ms. Bond (9-12, Social Worker)

Mrs. Murphy (Post-Secondary Advisor)

Grade Level: *

9th Grade

10th Grade

11th Grade

12th Grade

What is your first name? *

What is your last name? *

What is the PRIMARY reason for your visit? *

*****I am worried about someone's safety.**** (Please describe below.)

Scheduling

Counseling group

Career planning

Bullying issues--also use SAFE SCHOOLS

Grief/loss

Home issues

Academic problems

Mental health concern

I'm just checking in with you

Section 504

Other (please describe below)

Is this urgent? (If emergency, please dial 911.)

(If no, leave blank, if YES, please describe.)

Other necessary information:

Anything specific we need to know?

Submit

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