MMS School Counseling Department - Parent Referral

Dear Parents/Guardians:

Please allow me to formally introduce myself. My name is Heather Cody and I am the new School Counselor here at Manteno Middle School. My role at MMS is to help aide in the development of academic, vocational, and social needs of the students through collaboration with school staff, parents, and community members. I look forward to reaching these goals by working individually, as well as in groups, and class discussions.

I have attached a Needs Assessment that you are free to fill out which can help me to gain an understanding of you and your student’s specific needs in an effort to support you, the parent/guardians. You are welcome to fill out this form and return to either my mail bin, the front office, or please feel free to stop by my office. I also will have an electronic version available on the Manteno Middle School Website.

I look forward to working with all of you. If you have any questions or concerns, please contact me.


Thank you again for your support.


Sincerely,

Ms. Heather Cody
School Counselor
hcody@manteno5.org
815-802-7327
www.manteno.il.mcm.schoolinsites.com/?PageName='Guidance'
Name: 


  1. Please select the appropriate response(s) you feel your student can benefit from individual counseling.
    Behavioral Issues at Home and in the Classroom
    Bullying
    Death
    Divorce
    Drugs/alcohol
    Family/Home issues
    Improving study skills and test-taking skills
    Information about options for high school
    Making friends
    Managing conflict with others
    Peer Pressure
    Self-esteem
    Stress management
    Time management and organization
    Other


  1. If you answered "Other" to question#1, please specify.


  1. Please select the appropriate response(s) you feel your student can benefit from small group counseling.
    Behavioral Issues at Home and in the Classroom
    Bullying
    Death
    Divorce
    Drugs/alcohol
    Family/Home issues
    Improving study skills and test-taking skills
    Information about options for high school
    Making friends
    Managing conflict with others
    Peer Pressure
    Self-esteem
    Stress management
    Time management and organization
    Other


  1. If you answered "Other" to question#3, please specify.


  1. What are some of the other ways the counseling department can support you and your student?