Student Counseling Referral Form 2018-2019
My problem is....(Check as many as you need)
Worried about school
Worried about home
Having trouble with another kid
Having trouble with an adult
Trying to do better but it's hard
Having a problem that's not on this list
I need to see you.....
Sometime this week
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This form was created inside of Kanawha County Schools.
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