Request to See a Counselor 2018-19
Please fill out this form and your counselor will call you out or send an appointment slip in the next two days.

Jessica Calderon (CAPA and Health 9th-12th)
Bertha Valenzuela (EPA 9-12th; ELD 1-2; APP, NSH)
Rachelle Buckner (Law and Multimedia 9th-12th)
Ivan Rodriguez (intern) (Internationals and ELD 1-2 )

I am.. *
Student First Name/ Primer Nombre *
Your answer
Student Last Name/ Apellido *
Your answer
Student ID number /Numero de Identificacion
Your answer
Personal email address/ Correo Electronico
This is different than your school email. Please provide your personal email so we can email your directly. Este es tu correo electronico personal, no la de la escuela.
Your answer
I need to see my counselor about *
Describe reason for appointment. Describe la razon por esta solicitud. *
Please use complete sentences and details. Do not say "I want to change classes". Instead, tell us which specific class, which period, which teacher and at least one complete sentence with your reason. Providing details will help us gather the correct information before we meet with you.
Your answer
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