Counseling Office Appointment Request

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Email *

Who is requesting... *

Parent

Student

First/Last Name *

Student 6 Digit ID Number

Phone Number

Student Grade Level *

I am requesting to see... *

Mrs. Faraone - Counselor for Last Name A- C, Merced College

Mrs. Seifert - Counselor for Last Name D - He

Mrs. Kollmann - Counselor for Last Name Hi - M

Mr. Trujillo - Counselor for Last Name N - Sa

Mrs. Barrett-Hill - Counselor for Last Name Sc - Z

Ms. Budisch - Student Support Manager

Mr. Richter - AP of Guidance

Mrs. Haygood-Floriano - AP of Teaching & Learning

Mrs. Galarza/Mr. Hernandez- Guidance Techs (work permits/community service)

Mrs. Cervantes - Registrar (Enroll/Drop/Transcripts)

Mrs. Castillo - Data Entry (Change of address, Personal Documents)

Other:

Please explain the reason for your appointment request. *

A copy of your responses will be emailed to the address you provided.

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