How are you feeling?

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If you are having an emergency, go directly to your house office or nearest trusted adult. This form is only checked during school hours, and Hope Squad members and Advisors are only available during regular school hours. Requests during nights or weekends will be addressed the next school day. If you are having an emergency outside of school hours, please call 911.
This document is only viewed and accessed by necessary adults.

Email *

Last Name *

First Name (As shown in Skyward) *

Student ID # *

House Office *

Grade *

9th

10th

11th

12th

Description of issue. As detailed as you feel comfortable. *

Severity *

Crisis- Need Counselor intervention ASAP.

Severe- Would like a Counselor Today.

Would like to speak with a Hope Squad Member TODAY

Would like to speak with a Hope Squad member TOMORROW

Would like to request a specific Hope Squad member or advisor.

Spoke with Hope Squad member before. Would like to speak with the same member again.

(Please list Hope Squad members name)

Send me a copy of my responses.

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