Counselor Appointment Request Form for Students
This form is intended for use by STUDENTS ONLY.

Parents/Guardians/Others who would like to contact a counselor, please do so by emailing your student's grade-level School Counselor directly.

Grade 9, Angela Higginbotham: AngelaAH@leeschools.net
Grade 10, Jamie Campbell: JamieLC@leeschools.net
Grade 11, Georgia Roberts: GeorgiaAR@leeschools.net
Grade 12, Rachael DeRosso: RachaelLD@leeschools.net

STUDENTS: Please complete the following information to request a meeting with your counselor.
The counseling department reviews requests at the end of each day and will touch base with you within 24 to 48 hours.

If it is an emergency, please report to the counseling office.


Student First Name
Your answer
Student Last Name
Your answer
Student ID Number
Your answer
I would like to request a meeting with:
I would like to speak to my counselor about:
You may check multiple boxes
Required
Please give a brief description of the reason you would like to meet with your counselor.
Your answer
Student Email Address
Please enter your email address
Your answer
Student Phone #
Please enter your cell phone number
Your answer
Submit
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