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Counselor Request Form
If you would like a school counselor from Columbine Elementary School to contact you, please complete this form./Si usted necesita que un consejero de la escuela Columbine lo contacte, por favor complete esta forma.
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Your Name
Your answer
Teacher's Name
Your answer
Grade
Your answer
I would like to make an appointment to meet with you because/ Me gustaria hacer una cita con usted porque
I am worried about home/Estoy preocupado(a) acerca de mi hogar
I am having friendship problems/Tengo problemas de amistad
I need help with my feelings/Necesito ayuda con mis sentimientos
Other:
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Please provide your contact information (phone number or email address)/Por favor proporcione su información de contacto (número de teléfono o correo electrónico)
Your answer
When would be a good time to contact you?/ ¿Cuando sería un buen momento para ponernos en contacto con usted?
Your answer
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