Parent/Guardian Referral

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I will respond within 3 days of receiving your request. If you need more immediate assistance, please contact the school and ask to be connected to the school counselor's office.

Also, if you need assistance in locating community resources, you may call 2-1-1; a free referral resource that helps connect people to health and human services.

Your first and last name:

Your child's first and last name:

Student's Grade

Preferred contact method and information: Please include if you would like to be contacted by phone or email as well as your current phone number or email address.

I would like:

To schedule a time to talk with the school counselor regarding my child.

To schedule a time to talk with the school counselor regarding community resources.

The school counselor to arrange a time to talk with my child.

Other:

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If you have any other relevant information that you would like to include with this request, you may enter it here:

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