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25-26 HNGA Counselor Request Form
Teachers: Please complete this form with the student's information.

Students: Please complete this form with your information to see Mrs. Keef.  If you have an EMERGENCY, please tell an adult now.  An emergency means you or someone else could get hurt. This form may not be checked immediately. Sometimes it may take a few days to be called to the counselor's office. Thank you for your patience. 
(This form is not checked outside of school hours. If you have an emergency, please notify an adult.)
Email *
Current class/Teacher
Student's Last name, First name *
Level of urgency *
Not urgent at all
Extremely urgent
Please provide a brief description of the issue. (optional) *
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