Student Request for Assistance Form

Student Request for Assistance

If you would like your counselor or someone else from school to contact you, please complete the following questions as best as possible. --------Please remember that if you're having an emergency, call 911------ This form will be checked on a daily basis, and we will respond as soon as possible. Your school counselor wants to also remind you that school counselors practice confidentiality. That means that everything you and the counselor discuss is confidential unless it's disclosed that a student is in danger of any kind by hurting himself/herself, by someone else hurting them in any way or if they share knowledge of someone else hurting others.

Student Assistance Form