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School Counselor Appointment Request Goetz
If this is an emergency, please do not use this form. If you have an emergency, notify your teacher so that you can receive permission to go to the school counseling office. The purpose of this form is to request an appointment with your school counselor. The form will be monitored daily. Expect an appointment with your counselor within 2 school days after your request is submitted. Your appointment may take place virtually, so please check your school email for any communications from your school counselor. To request an appointment with the Student Assistance Coordinator (SAC), email Mrs. Costello directly at
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Email *
First Name *
Last Name *
Grade *
Counselor *
Reason for appointment *
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