MYP Grade 6 and 7 Counselling Referral form

Please tick the items that best describe the concerns you have regarding your student. After completion of this referral form, please submit it directly to the school counselor.
Please note that a concern becomes problematic when the challenge is recurrent, repetitive, and is negatively affecting the student’s life.
Learning behaviors
Speech and Language/Comprehension
Social/Emotional Characteristics