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Request To See a Counselor 2016-17
Thank you for visiting the Muldrow High School Guidance office! We are happy to help you but might not be available right now. Please fill out this form so that we can call you down when we have availability.
In case of emergency, please call 911. Do not email or leave voicemails for the school counselors if you have concern regarding the immediate welfare of yourself or another Muldrow student. Mrs. Claborn (11th & 12th grades) and Ms. Hearn (9th & 10th grades) have office hours from 8:00am-4:00pm Monday-Friday* Both Mrs. Claborn and Ms. Hearn frequently check and reply to email both after work hours and on weekends when their personal time allows; however, this in no way guarantees their ability to respond to crisis emails or voicemails. This form is not a crisis line or system that is manned around the clock.
What is your first name?
What is your last name?
What grade are you in?
Which counselor are looking to see?
What can we help you with?
Career/Post Secondary Planning
Conflict with a teacher
Conflict with another student
Concern to report
How would you rate your need to see a counselor today?
If this is outside school hours, and your answer is "5" please contact an available adult immediately or call 911. This form is not manned 24/7 and is not a crisis line.
I'd like to see someone today but my issue isn't an emergency.
I am concerned for the immediate well being of myself or someone else
What period is best for us to call you down?
First Lunch 11:10-11:45
Second Lunch 12:00-12:35
Fill us in
Please use this space to provide information to us that might be helpful in our time together.
Send me a copy of my responses.
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This form was created inside of Muldrow Public Schools.