Student Request to see the Counselor
Please fill out this form to see Ms. Sales or Ms. Robinson
Who is your counselor?
Mrs. Sales: 6th grade (Last Name A-J) and 8th grade
Ms. Robinson 6th grade (K-Z) and 7th grade
Name (First and Last Name)
6th grade (Last Name A-J)
6th grade (Last Name K-Z)
I need to see the counselor about... (Check all that apply)
Academic (grades, classes, teachers, schedule issue)
Social (problems with friends or with an adult, bullying, etc.)
Personal (home, family, etc.)
I need to see you...
Right Away (Emergency= Big Problem)
Within 1-2 Days (Very Important=Medium Problem
By the end of the week (Little Problem)
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This form was created inside of Henry County Board of Education.