Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Counselor Contact Form
If you need to talk to your counselor, fill out this form and your counselor will call you down as soon as possible.
*We are
NOT
accepting requests for schedule changes.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Last Name
*
Your answer
First Name
*
Your answer
Student Number
Your answer
Who is your counselor?
*
Ms. Whitaker (6th/7th Last name A-G)
Mr. Shepherd (6th/7th Last name H-O)
Ms. Reymus (6th/7th Last name P-Z)
Ms. Doppelt (8th Grade)
How soon do you need to see your counselor?
*
It's urgent
Today or tomorrow
Sometime this week
What type of concern do you have?
*
School/Classes
Friends/Peers
Anxiety/Stress
Other
In one sentence, please describe how we can help you.
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Granite School District.
Does this form look suspicious?
Report
Forms
Help and feedback
Help Forms improve
Report