Counselor Intervention
Campus
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Please Select
Caddo
Baton Rouge
Ruston
Northshore
Your Email
*
Your Name
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First Name
Last Name
Student Name
*
First Name
Last Name
Is this a student or teacher request?
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Student
Teacher
Reason for referral
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Please be sure to include as many details as possible.
History of guardian interaction
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Describe any actions you have taken to address student concerns thus far
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