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Counseling Appointment Request
Complete this form to see a counselor. You will be called down when a counselor is available or given a pass to come at a specific day and time. Counselor appointments are scheduled for 15 minutes.
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Grade
*
6th
7th
8th
Counselor
*
Mr. Alesi - Last Name A-Lo
Miss Laura - Last Name Lu-Z
Ms. Falinski - Social Worker
Reason
Academic
Social Issues
Home Issues
Mental Health Issues
Teacher referral
Administrator referral
Counselor referral
Immediate Action Needed (ex. urgent mental health concern, concern for another student's safety)
Other:
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Details
Your answer
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