School Counselor Connect
Thank you for reaching out for support from your child's school counselors Mrs. Elgan and Mrs. Brand.
Sign in to Google to save your progress. Learn more
Student's First Name *
Any other information you think will be helpful for us to know before we reach out?
Student"s Last Name *
What school does your child attend? *
What grade are they in? *
What is the best way for me to contact you regarding your child?  Please select all options that will work for your family. *
Required
Best time to reach out if you want a phone call? *
Anything you would like us to know before we contact you? *
Please feel free to contact me directly through e-mail
School counselors are able to speak with students one time before we require a permission slip to be signed for individual or small group counseling support. -Mrs. Elgan
Thank you for taking the time to reach out for support for your child!- Mrs. Brand
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Yucaipa-Calimesa Joint Unified School District. Report Abuse