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Student Request to See a School Counselor
Please fill out the request to see a counselor form completely.  Your assigned counselor will call you to their office once the form has been reviewed.  

Ms. Parkin's caseload consists of students with the last names A-K.
Dr. Cunnien's caseload consists of students with the last names L-Z.
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Date *
MM
/
DD
/
YYYY
First Name: *
Last Name *
Grade: *
Reason for Request: *
Required
On a scale of 1-10,  how urgent is this request? *
Cool (Not urgent, the request could wait until tomorrow if needed.)
HOT!!!!!!!! (Super urgent.....must see a counselor right away!)
Briefly explain why you would like to see the counselor: *
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