LMS Counseling Parent/Guardian Request Form
Need resources for your family? Have a student you would like us to check in with? Mrs. Carnley and Mr. Burke are here for the students and families of LaFayette Middle School.

We are available Mon-Thurs 10-2 or other times by appointment.
Find us on Facebook at: https://www.facebook.com/lmsramblercounselors/posts/
Email address *
Student Name: *
Your answer
Student Grade: *
Parent/Guardian Name: *
Your answer
Do you need resources to help digital learning? (computer, laptop, internet, etc.) *
Do you need resources for local food pantries & food drives? *
Would you like one of us to virtually check-in with your student(s)? (over voice-call or video-call) *
Tell us a little bit about what you'd like us to check in with your student about:
Your answer
Would you like us to voice-call your student or set up a video-call?
(For voice-call) Phone number to reach your student:
Your answer
(For video-call) Email to reach your student:
Your answer
Would you like to speak to one of us? *
What is the best number to reach you by?
Your answer
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