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Westlane Student School Counselor Appointment Request
Use this form to request a meeting with your school counselor.
* Indicates required question
Email
*
Record my email address with my response
Who do you want to talk to?
*
My school counselor, Ms. Sedgwick- 6th grade
My school counselor, Ms. Bostic - 7th grade
My school counselor, Mr. Hughes - 8th grade
My School Social Worker, Ms. Jones
Required
My last name:
*
Your answer
My first name:
*
Your answer
Purpose of Request:
*
Personal Concerns
Feelings of sadness, anxiety or stress
Problem with another student
Academics/Grades
Resources (school supplies, food, clothing, hygiene)
Other:
Required
This issue is:
*
An emergency - I need to speak to you as soon as possible.
Important - I would like to see you today or tomorrow. (We will do our best to see you when you request, but there may be times when it is not possible to do so.)
Not urgent - I would like to speak to you when you have time
Notes/Other Details:
Your answer
Submit
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