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GCE Staff- School Counselor Referral Form 26-27
Do you have a referral for the school counselors? Fill out this Google form to help us stay organized!
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Your Name
*
Your answer
Student Name
*
Your answer
Student’s Grade
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Choose
Kindergarten
1st Grade
3rd Grade
4th Grade
5th Grade
What are your concerns? (NOTE: If the child is in danger of harming self or others, DO NOT use this form. Contact Admin or Mrs. Beard IMMEDIATELY)
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Your answer
Could you please
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Meet with the student
Meet with me
Contact the Caregiver
Other:
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