Cameron High School Counselor Request Form

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Please fill out form if you would like to request a meeting with your high school counselor.

SAFETY CONCERN - If this is an emergency (if you are worried about your safety or the safety of others), call 911, text 988 or call National Suicide Prevention Hotline (1-800-273-8255).

Your Name *

Student's Name (if you are not a student)

Are you a *

CHS Student

Parent/Guardian

Staff Member

Other:

If parent - phone number we can reach you at?

Grade Level of the student *

Freshman

Sophomore

Junior

Senior

Find your counselor *

Mrs. Ryals (last names A-K)

Mrs. Clay (last name L-Z)

Mrs. Webb (post secondary advisor)

Reason for request to see counselor *

Urgency (how serious is your concern?)

Not Very Serious (Schedule changes, grades, scholarships, etc)

Kind of Serious (friend issues, problems, want someone to talk to)

Serious (bullying, threats, very upset)

Very Serious (someone is going to be hurt physically)

Is there anything else we need to know?

Submit

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