Counselor Check-In Request Form / Formulario de solicitud de entrada de consejeros

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Hello GSMS Staff, Students and Families / Hola Personal, Estudiantes y Familias de GSMS.

In order to best get in touch with a counselor, I have created this form for you to use. Please fill this out, and I will get back to you as soon as I can!

Para ponerte en contacto con un consejero de la mejor manera posible, he creado este formulario para que lo utilices. Llénalo y me pondré en contacto contigo lo antes posible.

:-) Ms. Tennant

Email *

I am a / Yo soy un *

Student / Estudiante

Teacher / Maestro/a

Family member // Miembros de la familia

Other:

Student name/ Nombre del Estudiante: *

Crew Teacher/ Maestro de Crew: *

What topics need to be talked about? / De que temas hay que hablar? *

My School Work / Mis trabajos de la escuela

Myself / Mi mismo

My Family / Mi familia

Friendship / Amistades

Something private / Algo privado

Other:

Required

This Issue / Este tema *

Is an Emergency (talk to student today. / Es una emergencia (Hable hoy con el estudiante)

Is Very Important (talk to student ASAP) / Es muy importante (hablar con el estudiante lo antes posible)

Can Wait (talk to student this week) Puede esperar ( Hablar con el estudiante esta semana)

Describe the situation here. Describe la situacion aqui. *

A copy of your responses will be emailed to the address you provided.

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