Counselor Check-In Request
Hi everyone! We just wanted to send out a little reminder that we are still here for you, even if it is virtually. We know that this is a stressful time for you and want to support you however we can! If you want to talk with us, we are happy to do that. Please fill out this form if you would like to have your school counselor or our school psychologist reach out to you. Please keep in mind that this form is not intended for emergency use- in those circumstances, please dial 911, (315) 251-0600 (Contact Community Services Helpline), or 1-844-863-9314 (NYS Mental Health Line)
Sign in to Google to save your progress. Learn more
Today's date *
MM
/
DD
/
YYYY
Who are you trying to schedule a check-in with?
Clear selection
Name *
Email *
Phone number
How would you prefer to have a check-in appointment with your counselor?
If phone or video is your preferred method of contact, what is the best time to call within school day hours?
Time
:
Any comments regarding concerns or something you would like to discuss:
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Skaneateles Central Schools.

Does this form look suspicious? Report

Google Forms