Bellflower Counselor Request Form

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Bellflower Counselor Request Form

Dear Student:

This form will provide an easy way for you to connect with the Bellflower MS/HS Counseling Team! Just fill out this form, and we will follow up with you as soon as we can!

Counselors are available to respond Mon-Fri. from 8:30-4:30 (except holidays/breaks) and are not available during the weekend. If this is an emergency and you do not have immediate access to a counselor please reach out to a trusted adult ASAP, call 911, or call/text the Suicide and Crisis Lifeline at 988.

Email *

First Name *

Last Name *

Student ID #

Student Cell Phone # *

Grade Level *

Which counselor would you like to speak with? *

Mr. Rubio: Middle School "A-Li" & Early College Grades 11 & 12

Ms. Lopez: Middle School "LL-Z" & Early College Grades 9 & 10

Mr. Flores: Middle School At Promise Counselor

Mrs. Tripp: High School "A-Espa"

Mrs. Paredes: High School "Espe-Lev"

Mrs. Conte: High School "Lew-Pre"

Mrs. Fujimoto: High School "Pri-Z"

Ms. Campos (College & Career)

Mrs. Jones-Manning (Wellness)

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