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Parent Request for School Counselor
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Email
*
Your email
My Name is:
*
Your answer
My Child/ Children:
*
Your answer
I am the student's:
*
Choose
Mother
Father
Aunt/Uncle
Grandparent
Guardian/other
My reason for contacting you is:
Choose
Attendance
Behavior
Group Counseling
Individual Check-in
Academic Concerns
Peer/Social/Bullying
Resources
Family/Homes Concerns
Holiday Assistance (Thanksgiving)
Holiday Assistance (Christmas)
Option 11
I am contacting regarding
Your answer
I can be reached at: enter phone number or email address
Your answer
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