1. The Catholic school that child / children in my care attend is:
Primary School in Canberra
Primary School in a regional location
Secondary School in Canberra
A Central School
Secondary School in a regional location
I have students in more than one school - please describe in space provided
2. The number of students in my care who attend Catholic schools in the Archdiocese of Canberra and Goulburn is:
More than 4
3. The child / children in my care was provided with counselling due to:
Social / emotional issues (sadness, anxiety, mood, withdrawal, non-coping)
Child protection issues (experience of / exposure to abuse or domestic violence)
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