Student Request to meet with School Counselor /Solicitud del estudiante para reunirse con la consejera escolar

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Students, please complete this form if you would like to meet with your School Counselor.

Ms. Gill or Ms. Otero will then call you to their office.

The following are considered emergencies and YOU MUST ask your teacher to see your counselor immediately: someone is hurting you, you want to hurt yourself, you want to hurt someone.

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Estudiantes, por favor complete este formulario si desea reunirse con su consejera escolar.

La Sra. Gill o la Sra. Otero despues lo llamaran a su oficina.

Las siguientes se consideran emergencias y USTED DEBE pedirle a su maestro que vea a su consejera de inmediato: alguien lo está lastimando, usted quiere lastimarse a sí mismo, usted quiere lastimar a alguien.

Student First and Last Name / Nombre y apellido del estudiante

Student ID# /Número de identificación del estudiante

Grade / Grade

5th / Quinto

6th / Sexto

Clear selection

Who is your counselor? (If you do not know, check your schedule or ask your teacher) /¿Quién es tu consejera? (Si no lo sabe, consulte su horario o pregunte a su profesor)

Ms. Gill / Sra. Gill

Mrs. Otero / Sra. Otero

Clear selection

I would like to speak with my counselor about: /Me gustaría hablar con mi consejera sobre:

myself / yo mismo

my class/grades /mi clase / calificaciones

my family / mi familiia

my friends / mis amigos

something private / algo privado

Clear selection

Any additional information? / Cualquier información adicional?

Submit

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