A Helping Hand
Request to see the School Counselor
Dear Ms. Bostic,
Date:______
I would like to talk with you about:
___my school work
___myself
___my family
___my class
___my friends
___something secret or private
My name is _________________________
My teacher is ________________________
*If this is an EMERGENCY do not fill this out. Tell an adult right now!*
An EMERGENCY is if you want to hurt yourself, someone is hurting you, or you want to hurt
another person.
A Helping Hand
Request to see the School Counselor
Dear Ms. Bostic,
Date:______
I would like to talk with you about:
___my school work
___myself
___my family
___my class
___my friends
___something secret or private
My name is _________________________
My teacher is ________________________
*If this is an EMERGENCY do not fill this out. Tell an adult right now!*
An EMERGENCY is if you want to hurt yourself, someone is hurting you, or you want to hurt
another person.