Request to Meet with Your Counselor

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***SCHEDULE CHANGES*** We are only changing ELECTIVES! We cannot change your class periods, your teachers, or your lunch. There are change request forms in the counseling center. Please pick one up and fill it out completely!

If you would like to meet with your counselor, please fill out this form. The Counseling Center hours are Monday-Friday from 7:30am - 3:00pm. If you have an immediate or emergent concern, please come to the Counseling Center or call (801) 412-2315.

First Name *

Ex: Harry

Last Name *

Ex: Potter

Grade Level *

7th

8th

9th

Which Counselor would you like to meet with? *

Counselors divide students by LAST NAME. Please choose your counselor based on your last name, or the counselor you feel most comfortable with.

Mr. Behrmann (A-D)

Mr. Simpson (E-K)

Ms. Van Wagenen (L-Q)

Ms. Wu (R-Z)

What do you need help with? *

Social (Help with friends, drama, conflict, bullying etc.)

My Feelings (Feeling excited, sad, mad, stressed, anxious, etc.)

My Future (Future schedule, schooling, career, etc.)

My Needs (Help getting food, clothes, etc.)

Academics (Having a hard time in a class or with a teacher)

Other:

If you selected "other" please write what you need help with.

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