K-8 Counseling Referral Form for Parents
Email *
Today's Date *
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DD
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Your Name *
Student's Full Name (First and Last) *
Student's Gender *
Current Grade of Student *
Your Child's Teacher
Is your child in his/her first or second year at CVC? *
What are some of the student's strengths? Please list specific examples. 
What area do you feel the student could use more support in?
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