Redland Middle Counselor Check-In
Please fill out the information below so that the counselors can check in with you during this time.
ID # *
First and Last Name *
Grade *
How are you doing? *
Not good (I'm struggling emotionally)
Great! Everything is going well!
A family member or friend I am closest to at this time is... *
One thing that is helping me emotionally during this time is...(ex: talking to friends, doing the things I love, etc...) *
I wish... *
I am interested in participating in Counselor and City Year Check-Ins (if you say yes, we will send the date and time so you can participate.) *
Would you like a school counselor to check in with you withing the next week? *
If you would like for a counselor to contact you by text or phone call leave your phone number. By email, type email.
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