GSS Student Support Request Form
It is important for GSS students to know the supports available to them, and be able to self-refer in a discrete way.
Please select your requested support from the list below and they will call you down from class as soon as they are able.
(Your request will be confidential to the In-School Student Success Team Staff)
Name (First and Last):
I would like to speak with:
Student Success (Mrs. Putzman/Mr. Silverthorne - Start here if unsure where to go for support!)
Guidance (Mrs. Walton, Ms. Ebert, Mr. Bosnic - eg. timetable changes, course inquiries)
Youth Counsellor (Sue - social/emotional supports and counselling)
Social Worker (Cassandra - Select if you have seen her already, otherwise select Youth Counsellor)
Community Addiction Services Counsellor (CASON)
School Nurse (Joanne M.)
Resource Support (Mrs. Lebeau, Mme. Vasko)
Principal/Vice-Principal (Mr. Miller/Ms. Thompson)
Optional: Period you would like to be called down
Optional: Brief Description of Issue
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