Sign Up to See Your Counselor
Students please use this form to sign up to see your counselor.
NOTE: Counselors will see students as soon as possible. In most cases, students receive a pass the following school day. However, in some cases it could take a couple of days for someone to see you. If this is an emergency at school, go directly to the counseling office at school to get help.
If you are having a mental health emergency at home or outside of school hours, seek help immediately by calling 911 or the National Suicide Prevention Hotline: 1-800-273-8255. You can also chat with someone online at
Student First Name
Student Last Name
Student E-Mail Address
Please enter your email address for your counselor to send a pass to you if necessary.
I would like to see...
Ms. Long (Mondays Only)
Ms. Ismailaj (College Advisor)
The topic I would like to discuss is...
Please check all that apply.
Scheduling (Including any course change request)
Please use the space below to leave a message for your counselor if needed.
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This form was created inside of Wayne Westland Community Schools.