Ryan Counselor Request Form
If this is an emergency, ask to speak to a counselor immediately. DO NOT LEAVE
Emergencies: you want to hurt yourself, someone else, you know someone is hurting themselves, you or someone else are being hurt.
Student Info
Student Last Name *
Your answer
Student First Name *
Your answer
Student ID *
Your answer
Grade *
Required
Select your School Counselor
*
What do you need to discuss with your counselor?
*
Required
Student Notes:
Your answer
Submit
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