GTHS Request to Contact Counselor 2018-19
Please complete the information below to contact your counselor. The GTHS Counseling Department looks forward to working with you.
Email address *
Counselor *
Last Name *
Your answer
First Name *
Your answer
Student ID# *
Your answer
Grade Level *
Telephone Number *
Your answer
Email Address *
Your answer
Person Completing the Form *
Mark only one oval.
Reason for Request *
Check all boxes that apply.
Required
How would you like to receive a response to your request? *
Check all that apply,
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Please write a brief explanation as to your reason for contacting your counselor? *
Your answer
A copy of your responses will be emailed to the address you provided.
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