This form is ONLY for student use:

Fill out this form to let me know how you're doing and if you need to speak to the counselor. There are 2 options in being able to contact me:

• Option 1: At the bottom of the form is my email address. We can keep in touch through email, which I check daily.

• Option 2: At the bottom of the form you may check the circle asking me to contact you. I will do so immediately that same day or the next.

Below is the form, you click the right hand square with the arrow and it will take you to the form.

Waiting to hear from You......... Miss you and can't wait to see you SOON!!!