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Request to meet with Mrs. Stevenson
Please fill out the form as completely as possible. Your responses are confidential. We will schedule you an appointment and send you a pass. Thank you!
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Email
*
Your email
Name of Student
*
Your answer
How important is your request?
*
When convenient
1
2
3
4
5
Urgent
Reason for meeting?
*
College and Career Planning
Conflict with peer
Conflict with teacher
Difficulty with a class (Schedule changes can rarely be accommodated after school begins)
Scholarships or Financial Aid
Concurrent Enrollment (You want to take a college class)
Aeries
Clubs
Home "stuff"
Personal
Feeling anxious, sad, out of control, etc,
Having a bad day
ROP
Short term Independent Study
Work Permit (Available in Attendance)
Other
When would you prefer to meet?
*
Before school
Period 1
Period 2
Nutrition Break
Period 3
Period 4
Lunch
Period 5
Period 6
After School
I think my question could be answered via email
Which classroom are you located in during the period selected?
*
Your answer
Please tell me a little bit about why you would like to meet?
*
Your answer
A copy of your responses will be emailed to the address you provided.
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