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WAIS Counselor Meeting Request Form
Use this form to schedule a meeting with your counselor.
If you are requesting a schedule change- please use the schedule change form found here:
tinyurl.com/waischange
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* Indicates required question
Email
*
Your email
Student Grade Level
*
Choose
6th
7th
8th
9th
10th
11th
12th
Student Name (Last Name, First Name)
*
Your answer
Counselor
*
Mr. Schlabach (Last Names A-F)
Mrs. Carrizales (Last Names G-N)
Mrs. Bushehri (Last Names O-Z)
Reason for Referral
*
College/Future Planning
Friends
Family
Grief- Loss/Death
Bullying
Academic
Other:
Explain/Comments: (Anything that would be helpful for us to know ahead of time)
Your answer
How soon do you need to see your counselor?
*
Right Away! It is an emergency!!!
Sometime today
Sometime this week
Submit
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