Skip to main content
Edison Elementary
School District
Main Menu Toggle
Board Of Trustees
Board Members
Board Policy
Agendas
Current Board Agenda
District
Superintendent's Message
LCAP Info
Title IX Information
Live Events
Fog Delay Policy
Contact Us
Departments
Educational Services
Student Support Services
Personnel Services
Business
Nutritional Services
Transportation
Maintenance
Expanded Learning Program
Resources
School Year Calendar
Bus Schedules
Aries Parent Portal
Expanded Learning Program
Community Services Center
Fog Delay Policy
Forms & Publications
Staff Directory
Schools
Orangewood
Edison Middle School
Edison Pre-School
Social Media Links
Facebook
Search
Header Button
Employment Opportunities
Loading...
Editing previous response:
Please fix the highlighted areas below before submitting.
Edison Counseling Referral - Student
Edison Counseling Referral - Student
Please complete the form below. Required fields marked with an asterisk *
Student Name:
*
Answer Required
Student ID #:
*
Answer Required
Is this referral for you or another student?
*
Answer Required
This referral is for me.
This referral is for another student.
Student Grade Level:
*
Answer Required
5th
6th
7th
8th
Description of the student's behavior:
*
Answer Required
Urgency Level
*
Answer Required
Level 1: See me soon!
Level 2: See me this week!
Level 3: Urgent, see me as soon as possible!
Level 4: Emergency, see me immediatly! Note: Notify the office (e.g. self-harm, threat to others, risk assessment, thoughts of suicide.)
Confirmation Email
Confirmation Email
Email Required
Mobile Footer Links
Staff Directory
Calendar
News
Contact
