Contact Counselor

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Contact Counselor

When you submit the completed form the counselor will be alerted via email, she will contact you directly. Emails will be sent to anita.kerat@student.dodea.edu.

Date *

YYYY

My name is... (use 1st name and initial of last name) *

I am a ... *

Student

Parent

Faculty / Staff

I am in / my child is in / I work with ... *

Sure Start / Pre-Kindergarten - SS/Pre-K

Kindergarten - K

FIrst Grade - 1

Second Grade - 2

Third Grade - 3

Fourth Grade - 4

Fifth Grade - 5

I would like to talk to you about ... *

I need help with my classwork/assignments

I have trouble finding my work online/Goggle Classroo

Organizing my work space at home/school

Connecting with my friends

Finding ways to de-stress at home/school

Finding ways to focus on work at home/school

Topics to add to the website

Other:

Required

Rate how well you can take care of the problem?

I can handle the problem, all is good.

I need help/support with this problem.

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This form was created inside of Department of Defense Education Activity.