Remote Student Check-In/Request for Services
Many of you have selected to learn remotely at home and during this time, you don't have face to face access to your teachers or counselor. Please complete this check-in/request for services and let us know how you're doing and if you could benefit from some extra assistance. **If you have specific questions about your classes, you should email your teachers directly.
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Email *
First Name *
Last Name *
Student ID/Lunch # *
Are you a 100% online learner or are you participating in blended learning (some online days at home and 2 days on campus based on your last name M/T or Th/F)? *
Using the scale below, please let us know how you're doing overall (This is not specific to online learning. We just want to know how you're doing personally.) *
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Using the color wheel of emotions, fill in the blank:  Today I am feeling... *
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Tell us a little more about why you are feeling that way or what may be contributing to those feelings. *
Do you need to speak with your guidance counselor or SAP counselor? *
What is a good phone number to reach you or your parent? *
Please select the reason(s) you need to speak with a counselor or NONE if you do not need to speak with a counselor at this time. *
Required
How is your online learning going? *
Tell us more about the additional academic help you could benefit from. Select all that apply or NONE if you do not need help at this time. *
Required
What are you doing to help yourself academically, socially, emotionally, etc.? Tell us what you're doing to be a successful student (i.e. daily learning schedule, study/class engagement routine, etc.) and to take care of yourself (self-care). *
Is there anything else you would like for us to know? If so, please explain.
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