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Counselor Request Form
STUDENTS - PLEASE NOTE COUNSELORS WILL NOT BE MAKING CHANGES TO HOMEROOM ASSIGNMENTS.
Students, we are here for you! Please give us a little information so we can be prepared to help you.
Are you a Hope Squad member?
Who is your counselor?
Mrs. Nelson (last names A-EL)
Ms. Hartung (last names EM-LAN)
Mrs. Leatherwood (last names LAP-ROG)
Mr. DeGracie (last names ROJ-Z)
I am not sure who my counselor is
What kind of question/concern do you have today?
Academic (schedule, classes, teachers, registration, grades)
Safety (you or someone else is being hurt or threatened)
Social-emotional (mental health, emotional wellbeing, family/friend relationships)
My request today is:
NOT urgent (I still want to talk to a counselor, but it could wait a day or two)
Important (I really need to talk to my counselor today if at all possible)
EMERGENCY (this is a matter of SAFETY - you or someone else is in danger)
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This form was created inside of Alpine School District.