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ESMS Counseling Department Check-in Station
Please take the time to fill out this information. Students, if we are able to see you now, we will. Otherwise, we will call you down when we are able.
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* Indicates required question
What is your last name?
*
Your answer
What is your first name?
*
Your answer
Which team are you on?
*
Hippogriff
Kraken
Dragons
Thunderbirds
Gargoyles
Phoenix
What is the PRIMARY reason for your visit?
*
I'm worried about someone's safety! (If no one speaks with you today please inform the counseling office or main office of your concerns in person before you leave for the school day)
I DON'T KNOW, you called me down.
Schedule Issues
Locker Issues
Bullying Issues
Friend Issues
Rumor Issues
Counseling Group
Academic Help
Grief/Loss Issues
Home Issues
New Student
TEACHER with concerns about a student.
PARENT concern
Triage- just checking in with you
Section 504/Transitory & Minor
Processing from OSS
Other:
Required
Is this an emergency?
(If no, leave blank, if YES, please describe.
Your answer
Other necessary information:
Anything specific we need to know?
Your answer
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