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Counseling Request
Please fill out this form to meet with Ms. S.
or Email the counselor directly sstrahan@fortunaesd.com
* Indicates required question
Email
*
Record my email address with my response
Student Name
*
Your answer
What is the date of request?
*
MM
/
DD
/
YYYY
Grade
*
7th
8th
I would like to talk about
*
School
Home
Friends/ other students
I just want to chat
Other
I would like to meet
*
Today - if there is time (requests sent during 6th period will be followed up the next day)
Today - URGENT
This week - when there is time
This week - urgent
Briefly describe the matter to be discussed
Your answer
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