WNSS Student Support Request Form

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It is important for WNSS students to know the supports available to them, and be able to self-refer in a discrete way.
Please select your requested support from the list below and they will call you down from class as soon as they are able.
(Your request will be confidential to the In-School Student Success Team Staff)

THIS IS NOT AN EMERGENCY SERVICE - if you are in an emergency situation, please call 911 immediately. This service will lead to an appointment/conversation with student supports staff.

Email *

Please list a phone number where you and/or your parent can be contacted. *

Name (First and Last): *

Grade *

Grade 9

Grade 10

Grade 11

Grade 12

I would like to speak with: *

Student Success (Ms. McCready, Ms. Zombolas - Start here if unsure where to go for support!)

Guidance (Mrs. Walton, Ms. Ebert, Mr. Weber, Ms. Mokrzynski - eg. postsecondary planning)

Youth Counsellor (Yvonne - social/emotional supports and counselling; available Monday, Wednesday, and Friday))

Social Worker (Sarah - Select if you have seen her already, otherwise select Youth Counsellor)

Community Addiction Services Counsellor (CASON)

School Nurse (Megan)

Resource Support (Ms. Badawey, Ms. Berg, Ms. McNeil)

Principal/Vice-Principal (Mr. Miller/Ms. Bell/Mr. Ezrin/Mrs. Folino)

Peer Mediation - student leaders who are available to assist with difficulties between students

Unsure

Required

Optional: Period you would like to be called down

Period 1

Period 2

Period 3

Period 4

Period 5

Other:

Clear selection

Optional: Brief Description of Issue

Send me a copy of my responses.

Submit

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