Student Referral to the Counselor
Hello students! I'm Ms. Manese or Ms. M, your counselor. I'm here to help you out. Please tell me a little more about why you would like to see me.
Email *
My name is (first and last name) ... *
My teacher's name is ... *
My grade level is ... *
I need help with ... *
How are you feeling?
How are you feeling? *
Try 1-2 activities below that can help you calm down.
Anything you would like to share with Ms. Manese? *
I would like to talk to Ms. Manese: *
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