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A.V. Cato Elementary | AVC Counseling Referral Form (Website)
AVC Counseling Referral Form
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* Indicates required question
Who would you like to speak with?
*
Mrs. York (Counselor)
Mrs. Gradel (Soical Worker)
First Available
I am a
*
Teacher
Student
Parent
Student First and Last Name
*
Your answer
Student Homeroom Teacher
*
Your answer
Please share what you want to talk about
*
Your answer
If you are having issues with a classmate, have you told the teacher first?
*
Yes
No
How important is your need to speak to me? We will come get you as soon as we are available.
*
1- Important, but it can wait
1
2
3
4
5
5 Very Important- ASAP
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