3rd - 8th Grade Student Meeting Request Form
Hello students, parents and/or caregivers!

Thank you for reaching out to request a student meeting with Ms. Keller, your school counselor. Be aware that I do not check email except during school hours. If this is a crisis or emergency call 911.

To request an individual session with Ms. Keller, please complete the form below. The information that you provide will help her to know how to best support you.

Limitations of virtual school counseling include, but are not limited to, confidentiality, access, and availability. You can read more here: https://schoolcounselor.org/asca/media/asca/PositionStatements/PS_Virtual.pdf
Student First Name *
Student Last Name *
What grade are you in? *
What would you like to talk about? *
When is the best time for you to meet? (During school hours) *
Georgia Crisis Lines
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