CMP Capitol Virtual Check in Request Form
Greetings Parents and Students,

This is a form where you can request a check in and/or resources.

After checking in and hearing from the student himself/herself as well as consulting with other school staff who know the student, I will be able to better determine if any further in-school or out-of-school intervention is appropriate.

If you are a staff member requesting a check in for your own child, please use this form. If you are a staff member requesting a check in for a different student, please use the form specific to staff.

*** Please read these Virtual Check In Guidelines before requesting a virtual check in. By submitting your responses on this form you are stating you have read the guidelines:
https://drive.google.com/file/d/1AxL_SBzmjo6HyZKLyyZoQgtIgFn0tH4G/view?usp=sharing

Thank you,
Ms. Elayne
CMP Capitol School Counselor
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Your full name (who is requesting the check in/resources on behalf of the student?): *
Name of student needing resources/check in: *
Your relationship to the student: *
Classroom teacher: *
I am requesting: *
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