Counseling Lesson Survey

Hello! Teachers have requested that counseling interns present lessons to some of their classes
based on speci9c attitudes and behaviors that they would like to cultivate. We would like to extend
the opportunity to make suggestions and/or book an intern for a counseling lesson based on your
needs. Please 9ll out the below form if you are interested in having an intern conduct a mini or full
lesson in one of your classes.

* Required

Name:

Your answer
Lesson Topic

Active Listening

Friendship- How to Be a Good Friend

Social Media Awareness

Organization Skills

Test-taking Skills

Mean vs Rude vs Bullying

College Fit

Managing Stress

Study Skills

Social Skills

How to Choose a College Major

Building Self-Esteem/Self-ERcacy

Self-Care/Coping Strategies

Other:

Type of Presentation:

Mini Lesson- 25 Minutes Long

Full Lesson- Full Class Period

What periods would you like the lesson to take place? An intern will
contact you to determine the date of the lesson based on mutual calendars.
*

1st

2nd

3rd

4th

Advisement

6th

7th

Customized Tutorial (stamp the kids you want to attend)

SUBMIT

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