19-20 Student Counseling Request Form
**FOR EMERGENCIES COME STRAIGHT TO OUR OFFICES**
Once you complete and send the form an email will be sent to Mrs. Julian & Mrs. Duncan. They will add you to their list of students to see. Thank you!

Email address *
First and Last Name *
Your answer
Your Student ID # *
Your answer
What grade are you in? *
My problem is...please check as many as you need and if your problem is not on the list please add it at the bottom! *
I need to see you... *
Submit
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