I Want to See Mrs. Reynolds, My School Counselor!
Please read before submitting.  

Use this form to request a meeting with Mrs. Reynolds. Submit only one request per day for the same concern.

This form is not monitored at all times and should not be used for emergencies.

  • If you need help right now at school, tell your teacher, an administrator, or another trusted adult immediately.
  • If you are away from school, tell a trusted adult immediately.
  • If you or someone else is in immediate danger, call 911.
  • For a suicide or mental health crisis, call or text 988.

Please do not use this form for schedule or class-change requests.

Email *
Today's Date: *
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Student's First Name: *
Student's Last Name: *
Name of Your Homeroom Teacher: (your homeroom teacher's name below) *
I need help with: *
Required
Have you told a parent or guardian about your issue? *
What could help you while you wait to meet with me? Select all that apply.
*
Required
How soon would you like to meet?  If you need help right now, do not wait for a response to this form. Tell a staff member immediately. *
After you submit this form, I will review your request and meet with you as soon as I am able. You do not need to submit another form for the same concern. If your concern becomes urgent while you are waiting, tell a staff member immediately.  
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