Counseling Referral 2023-2024
You can fill out this form if you need to see your counselor for any concerns you are having (academic, scheduling, college, career, social, or emotional).  You can also refer someone you think needs our guidance.

If you are completing this form and you need some assistance you can contact Mrs. Crone or Mrs. Trimmer in the Guidance Office.

 Please complete the following questions to the best of your abilities.
Email *
Who is your counselor?
Student's Grade *
Who am I Referring *
Student's Last Name *
Student's First Name *
Reason for Referral   Please check ALL that Apply... *
Required
If you picked bullying above please make sure it meets this definition: In order to be considered bullying, the behavior must be aggressive and include:An Imbalance of Power: Kids who bully use their power—such as physical strength, access to embarrassing information, or popularity—to control or harm others. Power imbalances can change over time and in different situations, even if they involve the same people.Repetition: Bullying behaviors happen more than once or have the potential to happen more than once. *
How urgent is this issue? *
Not Very
Very
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