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Academics Overview
Elementary School
Secondary School
Counseling Services
Language Support Services
Learning Support Program
Elementary Counseling Referral
Secondary Counseling Referral
Secondary Counseling Referral/Referimiento para profesores secondaria
Student Name / Nombre del Estudiante
Grade level-section / Grado-sección
Referring Teacher / El maestro hace la referencia
Academic reason for referral / Razón para la recomendación de consejeria
Attendance / Asistencia
Underachievement / Bajo rendimiento
Study skills / Habilidades de estudio
Organization / Organización
Homework / Tarea
Tardiness / Tardanza
Other
Social/Emotional reason for referral / Razón social / emocional para la recomendación
Anger management / Control de la Ira
Social skills/Friends / Habilidades sociales/amistad
Negative attitude / Actitud negativa
Withdrawn/Shy / Retirado/Tímido
Confidence/Self-Esteem / Confianza/Autoestima
Anxiety / Ansiedad
Uncooperative/Defiant / No cooperativo/Desafiante
Family conflict / Conflicto familiar
Adjustment / Adaptación
Grief / Dolor
Personal hygiene / Higiene personal
TCK / Niños de Tercera Cultura
Emotional liability / Labilidad emocional
Depression / Depresión
Self harm / Conducta autolesiva
Lack of motivation / Falta de motivación
Nervous tic / Tic nervioso
Adjustment (is not adapting to school environment)/ Adaptación (no se ha adaptado al entorno escolar
Suspicion of abuse / Sospecha de abuso
Other
Behavioral Reason for Counseling Referral / Razón conductual para la recomendación de consejería
Speaking in class / Habla mucho en clase
Swearing / Maldecir
Not paying attention / No presta atención
Falling asleep / Se duerme en clase
Disrespect to peers / Falta de respeto hacia sus compañeros
Disrespect to authority / Falta de respeto hacia la autoridad
Theft - Vandalism / Robo - conducta delictiva
Modesty / Modestia
Violation of honor code (plagiarism, cheating in test/quiz) / Violación al Código de Honor (plagio /
Inappropriate physical behavior (touching, kissing) / Manifestaciones físicas de afecto inapropiadas
Aggressive behavior (hitting, slapping, or name calling) / Comportamiento agresivo (golear/humiliar)
Other
Are Parents/Guardians aware of your concern(s)? / Son padres/tutores consciente de su preocupación?
Yes
No
Student needs to talk with a counselor... / El estudiante necesita hablar con consejería...
Right away! / ¡Inmediatamente!
Sometime today / En algún momento hoy
Sometime this week / En algún momento de esta semana
Just keep this on your radar. / Solo mantén esto en tu radar
I would like you to talk with him/her... / Me gustaría que hablaras con él / ella ...
One time / Una vez
Several individual sessions / Varias sesiones individuales
In a small group / En un grupo pequeño
Observe in the classroom / Observar en el aula
When is a good time to pull the student from the classroom?
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Academics Overview
Elementary School
Secondary School
Counseling Services
Language Support Services
Learning Support Program
Elementary Counseling Referral
Secondary Counseling Referral
