I Need to See My School Counselor
2019-2020 School Year
I understand that I am not to use this form in the case of an emergency. If I am worried about my safety or the safety of others, I need to see the nearest adult to get help.
I understand and accept the statement above.
What is your last name?
What is your first name?
Who is your homeroom teacher?
Mr. Thompson Franco
Ms. Torres Gonzalez
Please select your school counselor
Mrs. Dutchess (last names A-F)
Mr. Vavrinak (last names G-N)
Ms. Thomasson (last names O-Z)
I need to speak with my school counselor about...
Is there anything else you wish to tell your school counselor?
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