School Counseling Referral from Student
Students can use this form to request a school counselor meet with and discuss an issue(s) with them.
Your Name *
ex: Julia Smith
Your answer
Grade *
Homeroom Teacher Name *
Please provide the name of your Homeroom teacher
Your answer
I would like to see a school counselor because... *
Check as many as you need.
Required
I need to see a school counselor ... *
Right Away = CRISIS problem
Submit
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