Request to See a School Counselor
Student requests to see the school counselor will be addressed within 48 hours of your request.  If you feel the situation needs IMMEDIATE attention (suicidal thoughts, self-harm, concerned someone may hurt themselves, etc.) please have your teacher call and speak with someone in the counseling department or administration.  
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Student Name (First and Last) *
Homeroom Teacher *
What grade are you in? *
Guidance Department
The following guidance counselors are assigned to work with a particular grade level:
6th Grade - Mr. Smith- smithd@fortmillschools.org
7th Grade - Mrs. Young - younga@fortmillschools.org
8th Grade - Mrs. Crepeau- crepeauk@fortmillschools.org
Which counselor would you like to see? *
Area(s) of Concern *
Required
How long has this been a concern? *
In a few sentences, please tell us more about your concern. *
Please rate the severity of this referral- On a scale of 1-10 please note how serious (immediate) the concern is: *
Less Serious
Very Serious
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