ECHS Counseling Referral Form
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Email
*
Your email
Name of person making referral
Your answer
Student Name
Your answer
Grade
Freshman
Sophomore
Junior
Senior
Clear selection
If you are a student, briefly state your need for a meeting.
Your answer
If you are a requesting a college or internship recommendation, do you have a resume ready?
Yes
No
If yes, please attach the file.
Clear selection
If you are a teacher, briefly state why you are referring student.
Your answer
If you are a teacher, explain your academic or behavioral interventions with the student thus far.
Your answer
If you are a parent, please state why you are referring student.
Your answer
Submit
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