Guidance Appointment Form (Cita Para Consejeros)

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Please enter the following information to set up an appointment to see your counselor.

Name (Nombre): *

Student ID number(Number de ID): *

Counselor (Consejero/a) *

Mr. Howard

Ms. Moldashel

Mr. Giordano

Mrs. Santiago

Mrs. Royce

Mrs. Jarolem

Mrs. Brown

I don't know (Yo no se)

Please choose one of the following options (Elija uno de los siguientes opiciones): *

Please ask my counselor to email me to set up a time for a Google Meet (Pidale a mi consejero/a que me envie un correo electronico para programar una hora para la reunion de Google).

Please ask my counselor to schedule a time to meet with me in person. I am aware this may take time due to social distancing restrictions (Pidale a mi consejero/a que programe una cita para reunirse conmigo en persona. Soy consciente de que esto puede llevar tiempo durante una clase.

Required

The reason I need this appointment:

I would like to share my cell phone number:

This is my school email address(este es mi correo electronico de la escuela): *

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