Gateway Counseling Appointment Requests 17-18 Q1
Please complete this form to request an appointment with your counselor.You will be sent a pass with an appointment time.
I am a
Contact information (enter your cell number, email address, or other contact information here)
Student ID # (if applicable, otherwise write N/A)
Who do you need to see?
Shannon Wachsmann (Students with last names A-C and ELD 1 & 2 students)
Elizabeth Felker (Students with last names D-K)
Garrett Wilton (Students with last names L-Q)
Chance Siegele (Students with last names R-Z)
When would be the best time to talk? (Counselors will do their best to honor your request, but may need to make an exception. Check all that apply.)
Late Start Wednesday
What lunch do you have?
What are you interested in talking about?
Schedule (only after 1st 2 weeks-prior complete yellow form)
ED 20/20/Credit Recovery
Personal Issue or Question
Pickens Technical College
Community College of Aurora (concurrent enrollment)
Alternate Placement (Rebound, APS Online)
Please tell us more about what you would like to discuss (for example, what class/program are you wanting to change and why; description of question issue) The more information you can provide, the better we can meet your needs. :
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