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STUDENT SUPPORT SCHOOL WELLNESS TEAM CHECK-IN/ REGISTRO DEL EQUIPO DE BIENESTAR ESCOLAR DE APOYO ESTUDIANTIL
 This form is for you to use should you need to check  in with your School Support Wellness Team./  Este formulario es para que lo utilice si necesita comunicarse con su Equipo de Bienestar y Apoyo Escolar.
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Name/ Nombre *
Grade: Grado *
How urgently do you feel you need to speak to someone?/ ¿Con qué urgencia sientes que necesitas hablar con alguien? *
How are you feeling?/ ¿Cómo te sientes? *
Required
Do you have a preferred adult (school social worker, school psychologist, school counselor, teacher, coach, etc.) within the school with whom you talk to regularly?/ ¿Tienes una trabajadora social/ Consejera dentro de la escuela con quien trabajas regularmente? *
If you answered Yes to the above question, who is the preferred adult?/ Si respondió Sí a la pregunta anterior, ¿quién es la medica/ trabajadora social?
DISCLAIMER/DESCARGO DE RESPONSABILIDAD
This form is only monitored during the school day. If you have an emergency after school hours, call 988 or have a guardian take you to the nearest emergency room/Este formulario sólo se supervisa durante el día escolar. Si tiene una emergencia después del horario escolar, llame al 988 o pídale a un tutor que lo lleve a la sala de emergencias más cercana.
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