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REQUEST TO SEE A COUNSELOR
Please fill out the form below.
Mrs. Springer will see students with the last name: A -- Ma
Mrs. Bauman will see students with the last name: Mc -- Z
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LAST NAME
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FIRST NAME
Your answer
9 #
Your answer
GRADE
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WHAT DO YOU WANT TO SEE YOUR COUNSELOR ABOUT?
Issue with other student/s
Issue with teacher, grades, homework
Issue with schedule
Family Concerns
Drugs &/or alcohol
Harm to self or others
Weapons
College & Career
Gender, sexuality concerns
Anxiety
Depression
Organization, Time Management
Other:
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