Meet with your School Counselor

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Please complete the following information and a school counselor will send a pass for you as soon as they can. This form is intended for non-urgent meetings as we only see requests during school days.

If you have an emergency please contact our local Clark County Crisis Line 1-800-626-8137, 988, or if life threatening, please contact 911.

Email *

What is your first name? *

What is your last name? *

What grade are you in? *

6th grade

7th grade

8th grade

Parent or family member

Who is your school counselor? *

Mrs. MacKay (Your last name starts with letters A-L)

Mrs. McEathron (Your last name starts with letters M-Z)

Requesting a meeting with Haruka

Requesting a meeting with Jeremy (He is here on Wednesdays)

What would you like to talk about? *

How important is it that we talk about this today? *

5 - It is an emergency! (Someone has been hurt or you think that someone might be hurt)

4 - It is very important (No one is in danger, but this is all that I can think about)

3 - It is pretty important (I would really like to talk today, but I guess it could probably wait until tomorrow)

2 - It's not that pressing (It can wait until tomorrow or the next day)

1 - I just have a simple question that can wait (We can talk whenever my counselor has time)

I am a 6th grader who would like to take a WEB Walk with their 8th grade WEB Leader.

Other:

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