CVMS School Counselor Request Form

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Please fill out form if you would like to request a meeting with your CVMS school counselor. Students are always welcome to come into the Counseling office anytime during the school day as needed.

SAFETY CONCERN - If this is an emergency (if you are worried about your safety or the safety of others), call 911, text 988 or call National Suicide Prevention Hotline (1-800-273-8255).

Your Name *

Student's Name (if you are not a student)

Are you a *

CVMS Student

Parent/Guardian

Staff Member

Other:

If parent/guardian - phone number we can reach you at?

Grade Level of the student *

6th Grade

7th Grade

8th Grade

Reason for request to see counselor *

Is there anything else we need to know?

Submit

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