Request to See Counselor
First Name *
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Last Name *
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UID Number *
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Current Schedule *
Please list your current class schedule. Example: Period 1 - Mr. Clark, Period 2 - Ms. Stallings, Period 3 - Ms. Darden, Period 4 - Mr. Thoennes, Period 5 - Mr. Hernandez.
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Reason for Request? *
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