Please enable JavaScript in your browser to complete this form.Name *FirstLastForm *Please tick the relevant boxes that you would like support with:AngerAnxietyAttendanceBehaviourBereavement/ DeathConfidenceCoping SkillsExam PressureHigh number of detentions/ isolationsMedical IssuesMental Health IssuesResilienceSelf EsteemOtherBriefly explain how you would benefit from accessing some wellbeing support?Please note: If a safeguarding concern is raised then this information will have to be shared with Mr Jones and the safeguarding team. We will support you through this process. Forms are only be processed during school hours. If you have any concerns outside of these hours, please contact your GP or call 111. *I confirm I have read and understand the above statementSubmit